Basic Information
| Provider Information | |||||||||
| NPI: | 1750510343 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HUGHES | ||||||||
| FirstName: | ALICIA | ||||||||
| MiddleName: | TORIO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 559 E ALISAL ST | ||||||||
| Address2: | SUITE #201 | ||||||||
| City: | SALINAS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 939052516 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8317698800 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1615 BUNKER HILL WAY | ||||||||
| Address2: | SUITE #100 | ||||||||
| City: | SALINAS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 939066010 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8317961304 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/06/2009 | ||||||||
| LastUpdateDate: | 07/06/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 258014 | CA | Y | Nursing Service Providers | Registered Nurse |
ID Information
| ID | Type | State | Issuer | Description | FHC70832F | 05 | CA | MEDICAID | 1699726786 | 01 | CA | CLINIC NPI | OTHER | HAP70832F | 05 | CA | MEDICAID |