| Larry C Hughes Md Inc A Medical Corporation | |
|
4020 W Florida Ave Hemet CA 92545-5279 | |
| (951) 925-9565 | |
| Not Available |
| Full Name | Larry C Hughes Md Inc A Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 4020 W Florida Ave, Hemet, California |
| Authorized Official Name and Position | Larry C Hughes (OWNER) |
| Authorized Official Contact | 9519259565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry C Hughes Md Inc A Medical Corporation 4020 W Florida Ave Hemet CA 92545-5279 Ph: (951) 925-9565 | Larry C Hughes Md Inc A Medical Corporation 4020 W Florida Ave Hemet CA 92545-5279 Ph: (951) 925-9565 |
| NPI Number | 1861546681 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 12/23/2014 |
| Medicare PECOS PAC ID | 8426372988 |
|---|---|
| Medicare Enrollment ID | O20150112000950 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861546681 | NPI | - | NPPES |
| 00G598421 | Medicaid | CA | |
| 080022933 | Other | RAILROAD MEDICARE | |
| 00G598420 | Medicaid | CA | |
| 1679659254 | Other | CA | RENDERING LINK NPI |
| ZZZ30159Z | Other | CA | MPTANGRP |
| Provider Name | Larry C Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417033291 PECOS PAC ID: 4082681457 Enrollment ID: I20040914001412 |
| Provider Name | Mary Ann Savory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679659254 PECOS PAC ID: 5496722860 Enrollment ID: I20040914001429 |
| Provider Name | Kathy Castillo Valdeverona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376563064 PECOS PAC ID: 5395714521 Enrollment ID: I20040924000954 |
| Provider Name | Julie A Smith-clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457626061 PECOS PAC ID: 2264687755 Enrollment ID: I20130307000391 |
| Provider Name | Amber Brittany Mejia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770240988 PECOS PAC ID: 0042602500 Enrollment ID: I20220113002284 |
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