Provider Demographics
NPI:1356360218
Name:HATFIELD, HUGH (M D)
Entity type:Individual
Prefix:DR
First Name:HUGH
Middle Name:
Last Name:HATFIELD
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1300 E CYPRESS ST
Mailing Address - Street 2:STE C2
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-4734
Mailing Address - Country:US
Mailing Address - Phone:805-928-0217
Mailing Address - Fax:805-928-9936
Practice Address - Street 1:1300 E CYPRESS ST
Practice Address - Street 2:STE C2
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-4734
Practice Address - Country:US
Practice Address - Phone:805-928-0217
Practice Address - Fax:805-928-9936
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA22708207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A22708Medicare PIN