Basic Information
| Provider Information | |||||||||
| NPI: | 1982674065 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HEMET HEALTHCARE SURGICENTER, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 301 N SAN JACINTO ST | ||||||||
| Address2: | STE B | ||||||||
| City: | HEMET | ||||||||
| State: | CA | ||||||||
| PostalCode: | 925433113 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9517651717 | ||||||||
| FaxNumber: | 9517651716 | ||||||||
| Practice Location | |||||||||
| Address1: | 301 N SAN JACINTO ST | ||||||||
| Address2: | STE B | ||||||||
| City: | HEMET | ||||||||
| State: | CA | ||||||||
| PostalCode: | 925433113 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9517651717 | ||||||||
| FaxNumber: | 9517651716 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/23/2006 | ||||||||
| LastUpdateDate: | 01/29/2013 | ||||||||
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| AuthorizedOfficialLastName: | CHAUDHURI | ||||||||
| AuthorizedOfficialFirstName: | KALI | ||||||||
| AuthorizedOfficialMiddleName: | P. | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9517828812 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QA1903X | Y | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Surgical |
No ID Information.