Healthcare Provider Details

I. General information

NPI: 1932887114
Provider Name (Legal Business Name): APOLLO HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2023
Last Update Date: 07/07/2023
Certification Date: 07/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6042 N FRESNO ST STE 104
FRESNO CA
93710-5279
US

IV. Provider business mailing address

PO BOX 748
CLOVIS CA
93613-0748
US

V. Phone/Fax

Practice location:
  • Phone: 559-515-6841
  • Fax: 559-599-0007
Mailing address:
  • Phone: 559-515-6841
  • Fax: 559-599-0007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSE RENTERIA
Title or Position: CEO
Credential:
Phone: 559-515-6841