Basic Information
Provider Information
NPI: 1578520722
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUGHES
FirstName: THOMAS
MiddleName: C
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 279 IMPERIAL HWY
Address2: SUITE 730
City: FULLERTON
State: CA
PostalCode: 928351041
CountryCode: US
TelephoneNumber: 7144494841
FaxNumber: 7144494956
Practice Location
Address1: 1950 SUNNYCREST DR
Address2: SUITE 2800
City: FULLERTON
State: CA
PostalCode: 928353638
CountryCode: US
TelephoneNumber: 7149925350
FaxNumber: 7149928156
Other Information
ProviderEnumerationDate: 04/28/2006
LastUpdateDate: 04/30/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VG0400XG27376CAY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology

No ID Information.


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