# HEMET OB-GYN INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457573446
- **Authorized official:** RENATO G JUDALENA MD (OWNER)
- **Authorized official phone:** (951) 492-0900

## Contact information

- **Practice address:** 2390 E FLORIDA AVE, \# 104, HEMET, CA 92544-4707
- **Practice address phone:** (951) 492-0900
- **Mailing address:** PO BOX 700, HEMET, CA 92546-0700
- **Mailing address phone:** (951) 929-6260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | C39765 | CA | Yes |

## Other

- **Enumeration date:** 05/02/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0104500 | — | CA |