# ERIC R. HUBBARD, DPM, A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ERIC R. HUBBARD, DPM, A PROFESSIONAL CORPORATION
- **Other names:** Memorial Podiatry Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790041887
- **Legal business name:** ERIC R. HUBBARD, DPM, A PROFESSIONAL CORPORATION
- **Authorized official:** DR. ERIC R. HUBBARD DPM (PRESIDENT)
- **Authorized official phone:** (562) 426-5151

## Contact information

- **Practice address:** 2333 PACIFIC AVE, LONG BEACH, CA 90806-3025
- **Practice address phone:** (562) 426-5151
- **Mailing address:** 2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
- **Mailing address phone:** (310) 474-9809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 04/03/2012
- **Last updated:** 04/09/2012