OrganizationActive
Nueva Vida Medical Inc.
NPI 1316017809 · General Practice Physician · Los Angeles, CA
Provider details
- NPI number
- 1316017809
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Issam Khafaja, President(213) 484-6444
- License
- A54280 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1725 Beverly Blvd
Ste 103
Los Angeles, CA 90026-5401
Phone: (213) 484-6444
Fax: (213) 484-6555
Street-level locationGet directions
Mailing address
1725 Beverly Blvd
Los Angeles, CA 90026-5401
Registry dates
- Enumerated
- 2006-11-09
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.