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Organization
NEXUS MEDICAL GROUP, INC
Active
Organization
NEXUS MEDICAL GROUP, INC
Active
Other names
Nexus Medical Group, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD HUBBARD MD (CEO)
(818) 616-9575
Entity
Organization
Contact information
Practice address
14856 VANOWEN ST, VAN NUYS, CA 91405-3828
(818) 616-9575
Mailing address
14856 VANOWEN ST, VAN NUYS, CA 91405-3828
(818) 616-9575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C31257
CA MED LIC
CA
Enumeration date
09/21/2018
Last updated
11/08/2019
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