MEDICARE: DR. MARCIA C HUGEN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	C133300	CA

General Provider Information

NPI Number	:	1548435860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARCIA C HUGEN MD

Provider Business Mailing Address
First Line	:	18081 BEACH BLVD
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-1304
Country	:	US
Telephone Number	:	888-988-2800
Fax Number	:

Provider Business Practice Location Address
First Line	:	18081 BEACH BLVD
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-1304
Country	:	US
Telephone Number	:	210-450-9900
Fax Number	:	210-450-9901

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2008
Last Update Date	:	11/29/2021

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