| Organization Name: | HEMET URO-ENDO SURGICENTER INC. |
| NPI Number: | 1083751143 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JACK J. DRUET (PRESIDENT) |
| Mailing Address: | 162 N Santa Fe St Hemet |
| State: | CA US |
| Postal Code: | 925434451 |
| Phone Number: | 9519292800 |
| Fax Number: | 9519292303 |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 04/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 250000271 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |