Individual
DR. CHARLES RODGER HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12401 WASHINGTON BLVD, WHITTIER, CA 90602-1006
(562) 698-0811
Mailing address
20 EXECUTIVE PARK STE 155, IRVINE, CA 92614-4733
(949) 263-8620
(800) 409-7005
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G82197
CA
2085R0204X
Vascular & Interventional Radiology Physician
8228
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G8219700
BLUE SHIELD OF CALIFORNIA
CA
05
—
1699753665
—
CA
05
—
200290220
—
NV
01
—
NV9225
BLUE
NV
Enumeration date
01/09/2006
Last updated
08/30/2012
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