Organization
HEMET OB-GYN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENATO G JUDALENA MD (OWNER)
(951) 492-0900
Entity
Organization
Contact information
Practice address
2390 E FLORIDA AVE, # 104, HEMET, CA 92544-4707
(951) 492-0900
Mailing address
PO BOX 700, HEMET, CA 92546-0700
(951) 929-6260
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
C39765
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0104500
—
CA
Enumeration date
05/02/2007
Last updated
08/22/2020
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