Individual
BRYAN DAVID HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1513 S GRAND AVE, LOS ANGELES, CA 90015-3070
(213) 673-1478
Mailing address
PO BOX 1304, REDONDO BEACH, CA 90278-0304
(213) 673-1478
(310) 347-4318
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G079530
CA
2086S0127X
Trauma Surgery Physician
Primary
MD600003711
DC
Other
Enumeration date
01/23/2007
Last updated
10/13/2025
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