MEMORIAL PODIATRY GROUP - NPI 1790041887 - Non-Pharmacy Dispensing Site in Long Beach, CA

Q: What is the provider's specialty?

The provider's specialty is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

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About Memorial Podiatry Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEMORIAL PODIATRY GROUP (NPI 1790041887) is a healthcare organization registered as a non-pharmacy dispensing site in Long Beach, California and active in the NPI registry since April 2012. The organization lists Eric R. Hubbard, President, as its authorized official.

NPPES Registry Identity

NPI1790041887

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameERIC R. HUBBARD, DPM, A PROFESSIONAL CORPORATION

Location Address2333 PACIFIC AVELong Beach, CA 90806-3025

Mailing Address2980 N Beverly Glen Cir, Suite 301Los Angeles, CA 90077-1726 · (310) 474-9809

Phone(562) 426-5151

Organization SubpartYes

Authorized OfficialEric R. HubbardPresident · (562) 426-5151

Enumeration DateApril 3, 2012

Last NPPES UpdateApril 9, 2012

✔ NPI 1790041887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

2333 PACIFIC AVE, Long Beach, CA 90806

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Other Names 1

Doing Business AsMemorial Podiatry Group

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIC R. HUBBARD, DPM, PC

Podiatrist (Foot Surgery)