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MR. DEREK LEE HUBBARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
3831 HUGHES AVE, SUITE 601 CULVER MEDICAL PLAZA, CULVER CITY, CA 90232
(310) 988-5602
(310) 838-0491
Mailing address
11832 UIOWA AVE #9, LOS ANGELES, CA 90049
(310) 988-5602

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC12236
CA

Other

Enumeration date
07/09/2008
Last updated
07/09/2008
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