Individual
CHRISTINA A HUCKABAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1057 PINE AVE, LONG BEACH, CA 90813-3118
(562) 366-5920
Mailing address
1060 E 70TH ST, LONG BEACH, CA 90805-1008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
53087-020
WI
207Q00000X
Family Medicine Physician
Primary
A112856
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-1109
MEDICARE
CA
05
—
FHC70991F
—
CA
Enumeration date
03/21/2007
Last updated
11/21/2022
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