Healthcare Provider Details

I. General information

NPI: 1235067802
Provider Name (Legal Business Name): HUDDLE MEN'S HEALTH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3138 ROOSEVELT ST STE H
CARLSBAD CA
92008-3021
US

IV. Provider business mailing address

3138 ROOSEVELT ST STE H
CARLSBAD CA
92008-3021
US

V. Phone/Fax

Practice location:
  • Phone: 858-214-3978
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RAPHAEL AKOBUNDU
Title or Position: NP
Credential: NP
Phone: 646-463-4847