Organization
NUEVA VIDA MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD HUBBARD MD (CEO/OWNER)
(747) 777-3445
Entity
Organization
Contact information
Practice address
14443 TITUS ST, PANORAMA CITY, CA 91402-5251
(747) 777-3445
Mailing address
14443 TITUS ST, PANORAMA CITY, CA 91402-5251
(747) 777-3445
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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