ERIC R. HUBBARD DPM PC NPI 1760600621

NPI Information

ERIC R. HUBBARD, DPM, PC is a foot surgery podiatrist in Long Beach, CA. ERIC R. HUBBARD, DPM, PC NPI is 1760600621. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Memorial Podiatry Group.

The provider's business location address is:

2333 PACIFIC AVE
LONG BEACH, CA
ZIP 90806-025
Phone: (562) 426-5151
Fax: (562) 424-9935

The provider's authorized official is Millie K Hubbard .
The authorized official title is Officer And Shareholder and has the following contact phone number (562) 426-5151.

The CLIA number assigned to this NPI record is 05D0554416 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/23/2007 and was last updated on 4/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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