Healthcare Provider Details

I. General information

NPI: 1942837802
Provider Name (Legal Business Name): HUGO CARDONA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2020
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 N PASS AVE
BURBANK CA
91505-1436
US

IV. Provider business mailing address

757 WESTWOOD PLZ
LOS ANGELES CA
90095-7419
US

V. Phone/Fax

Practice location:
  • Phone: 323-633-6582
  • Fax:
Mailing address:
  • Phone: 310-267-8653
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number188770
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: