Organization
HEMET VALLEY IMAGING MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK EUGENE WHITE D.O. (MEDICAL DIRECTOR / PRESIDENT)
(951) 658-9243
Entity
Organization
Contact information
Practice address
1001 E LATHAM AVE, STE G, HEMET, CA 92543-4435
(951) 658-9243
Mailing address
1001 E LATHAM AVE, STE G, HEMET, CA 92543-4435
(951) 658-9243
(951) 765-5415
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CR0888
RAILROAD MEDICARE
CA
05
—
GR0051772
—
CA
Enumeration date
02/28/2006
Last updated
10/22/2015
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