Provider Demographics
NPI:1558483008
Name:HUGHES, MONICA JAN
Entity Type:Individual
Prefix:MS
First Name:MONICA
Middle Name:JAN
Last Name:HUGHES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8926 S HARVARD BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90047-3613
Mailing Address - Country:US
Mailing Address - Phone:323-751-3347
Mailing Address - Fax:
Practice Address - Street 1:2500 WILSHIRE BLVD STE 922
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-4314
Practice Address - Country:US
Practice Address - Phone:213-487-9800
Practice Address - Fax:213-487-9801
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA190517ANMedicare Oscar/Certification