| Nexus Medical Group, Inc | |
|
14856 Vanowen St Van Nuys CA 91405-3828 | |
| (818) 616-9575 | |
| Not Available |
| Full Name | Nexus Medical Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 14856 Vanowen St, Van Nuys, California |
| Authorized Official Name and Position | Richard Hubbard (CEO) |
| Authorized Official Contact | 8186169575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nexus Medical Group, Inc 14856 Vanowen St Van Nuys CA 91405-3828 Ph: (818) 616-9575 | Nexus Medical Group, Inc 14856 Vanowen St Van Nuys CA 91405-3828 Ph: (818) 616-9575 |
| NPI Number | 1700360088 |
|---|---|
| Provider Enumeration Date | 09/21/2018 |
| Last Update Date | 11/08/2019 |
| Medicare PECOS PAC ID | 3375889587 |
|---|---|
| Medicare Enrollment ID | O20190109001185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700360088 | NPI | - | NPPES |
| C31257 | Other | CA | CA MED LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Richard Hubbard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912121799 PECOS PAC ID: 2860666039 Enrollment ID: I20111128000521 |
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