Individual
IONELA O HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, DOM, IFMCP
Contact information
Practice address
12341 NEWPORT AVE STE A200, NORTH TUSTIN, CA 92705-8202
(949) 726-0707
(949) 258-8726
Mailing address
57 PLYMOUTH, IRVINE, CA 92620-2642
(909) 478-0600
(909) 478-0618
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
AC4756
CA
171100000X
Acupuncturist
Primary
AC4756
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790711935
CMV
CA
05
—
AC0047560
—
CA
Enumeration date
06/22/2006
Last updated
07/22/2024
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