Provider Demographics
NPI:1255443032
Name:HUB MEDICAL PRODUCTS INC.
Entity type:Organization
Organization Name:HUB MEDICAL PRODUCTS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GORDON
Authorized Official - Middle Name:HUBBARD
Authorized Official - Last Name:HOOD
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:760-438-3868
Mailing Address - Street 1:2794 LOKER AVE W
Mailing Address - Street 2:SUITE #100
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92010-6616
Mailing Address - Country:US
Mailing Address - Phone:760-438-3868
Mailing Address - Fax:760-438-3601
Practice Address - Street 1:2794 LOKER AVE W
Practice Address - Street 2:SUITE #100
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92010-6616
Practice Address - Country:US
Practice Address - Phone:760-438-3868
Practice Address - Fax:760-438-3601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
CA46701332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0531380002Medicare NSC