Healthcare Provider Details
I. General information
NPI: 1184936023
Provider Name (Legal Business Name): KPC GLOBAL MEDICAL CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/08/2010
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1117 E DEVONSHIRE AVE
HEMET CA
92543-3083
US
IV. Provider business mailing address
1117 E DEVONSHIRE AVE
HEMET CA
92543-3083
US
V. Phone/Fax
- Phone: 951-652-2811
- Fax:
- Phone: 951-652-2811
- Fax: 951-765-4782
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WILLIAM
THOMAS
Title or Position: OFFICER
Credential:
Phone: 951-987-8100