| Organization Name: | I HENAWI MD INC |
| NPI Number: | 1144557539 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | I HENAWI (OWNER) |
| Mailing Address: | 4020 W Florida Ave Hemet |
| State: | CA US |
| Postal Code: | 925455279 |
| Phone Number: | 9517655000 |
| Fax Number: | 9516580237 |
| NPI Enumeration Date: | 11/06/2009 |
| NPI Last Update Date: | 06/11/2010 |
| 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: | |