Individual
HEGE JOHNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1280 E LATHAM AVE, HEMET, CA 92543-4445
(951) 766-1222
(951) 766-1226
Mailing address
PO BOX 1891, HEMET, CA 92546-1891
(951) 929-6260
(951) 765-2855
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A107535
CA
Other
Enumeration date
02/27/2007
Last updated
07/20/2011
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