MEDICARE: DR. MARK D. HUBBARD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	A82539	CA

General Provider Information

NPI Number	:	1508886730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK D. HUBBARD M.D.

Provider Business Mailing Address
First Line	:	225 E 2ND AVE
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92025-4249
Country	:	US
Telephone Number	:	760-291-6700
Fax Number	:

Provider Business Practice Location Address
First Line	:	306 W EL NORTE PKWY STE S
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92026-1960
Country	:	US
Telephone Number	:	760-291-6700
Fax Number	:	760-746-5313

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	12/12/2024

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