Healthcare Provider Details

I. General information

NPI: 1417571126
Provider Name (Legal Business Name): APEX HEALTH CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2020
Last Update Date: 01/03/2024
Certification Date: 01/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17034 BELLFLOWER BLVD
BELLFLOWER CA
90706-5950
US

IV. Provider business mailing address

17034 BELLFLOWER BLVD
BELLFLOWER CA
90706-5950
US

V. Phone/Fax

Practice location:
  • Phone: 562-991-1568
  • Fax: 562-991-1581
Mailing address:
  • Phone: 562-991-1568
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: APPOLONIA OLUMBA
Title or Position: OFFICE MANAGER
Credential:
Phone: 562-716-8101