Healthcare Provider Details

I. General information

NPI: 1982674065
Provider Name (Legal Business Name): HEMET HEALTHCARE SURGICENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 01/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 N SAN JACINTO ST STE B
HEMET CA
92543-3113
US

IV. Provider business mailing address

301 N SAN JACINTO ST STE B
HEMET CA
92543-3113
US

V. Phone/Fax

Practice location:
  • Phone: 951-765-1717
  • Fax: 951-765-1716
Mailing address:
  • Phone: 951-765-1717
  • Fax: 951-765-1716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KALI P. CHAUDHURI
Title or Position: PRESIDENT
Credential: MD
Phone: 951-782-8812