Individual
STEPHEN I HEGEDUS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 E LATHAM AVE, STE 3, HEMET, CA 92543-4370
(951) 658-2271
(951) 766-7653
Mailing address
750 E LATHAM AVE, STE 3, HEMET, CA 92543-4370
(951) 658-2271
(951) 766-7653
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
C33512
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C335120
BLUE CROSS BLUE SHIELD
CA
05
—
00C335120
—
CA
01
—
P00244114
MEDICARE RAILROAD
CA
Enumeration date
12/01/2005
Last updated
07/08/2007
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