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Organization
LARRY C HUGHES MD INC A MEDICAL CORPORATION
Active
Organization
LARRY C HUGHES MD INC A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY C HUGHES M.D. (OWNER)
(951) 925-9565
Entity
Organization
Contact information
Practice address
4020 W FLORIDA AVE, HEMET, CA 92545-5279
(951) 925-9565
Mailing address
4020 W FLORIDA AVE, HEMET, CA 92545-5279
(951) 925-9565
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G59842
CA
207QA0000X
Adolescent Medicine (Family Medicine) Physician
G59842
CA
207QA0505X
Adult Medicine Physician
G59842
—
207QS0010X
Sports Medicine (Family Medicine) Physician
G59842
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G598420
—
CA
05
—
00G598421
—
CA
01
—
080022933
RAILROAD MEDICARE
—
01
—
1679659254
RENDERING LINK NPI
CA
01
—
ZZZ30159Z
MPTANGRP
CA
Enumeration date
01/22/2007
Last updated
12/23/2014
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