Individual
RENATO G JUDALENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2390 E FLORIDA AVE, HEMET, CA 92544-4707
(951) 492-0900
(951) 492-0985
Mailing address
PO BOX 700, HEMET, CA 92546-0700
(951) 492-5090
(951) 492-0985
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C39765
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C397650
—
CA
Enumeration date
12/19/2006
Last updated
07/08/2007
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