BEGIN:VCARD VERSION:3.0 FN:Michael Hughes\, MD N:Hughes;Michael;;;MD TITLE:Occupational Medicine Physician TEL;TYPE=WORK,VOICE:+16196446600 URL:https://www.gale.care/providers/ca/la-mesa/michael-hughes-md-1831109255 NOTE:NPI 1831109255. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1831109255 END:VCARD