Doctor Name: | IGLAL EL HENAWI |
NPI Number: | 1023234812 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | A62143 |
Business Practice Address: | 4020 W. Florida Ave Hemet, CA - 925455279 |
Business Phone Number: | 9517655000 |
Business Fax Number: | 9516580237 |
Mailing Address: | 4020 W Florida Ave, HEMET |
State: | CA |
Postal Code: | 925455279 |
Phone Number: | 9517655000 |
Fax Number: | 9516580237 |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 12/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A62143 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |