Healthcare Provider Details
I. General information
NPI: 1255846762
Provider Name (Legal Business Name): APEX AMBULATORY SURGERY CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/06/2017
Last Update Date: 02/17/2023
Certification Date: 02/17/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1241 E HILLSDALE BLVD STE 210
FOSTER CITY CA
94404-1296
US
IV. Provider business mailing address
1241 E HILLSDALE BLVD STE 210
FOSTER CITY CA
94404-1296
US
V. Phone/Fax
- Phone: 650-667-2322
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA1903X |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JULIE ANN
CARPENTIERI
Title or Position: DIRECTOR
Credential:
Phone: 510-399-0221