Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Nueva Vida Medical Center Inc

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1639054042

Nueva Vida Medical Center Inc provides Geriatric Medicine (Family Medicine) Physician services in Panorama City, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14443 Titus St
Panorama City, CA 91402-5251
Phone: (747) 777-3445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X

Record details

NPI number1639054042
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Hubbard — Ceo/Owner · (747) 777-3445
NPI enumeratedAugust 6, 2025
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address14443 Titus St, Panorama City, CA 91402-5251

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