Healthcare Provider Details
I. General information
NPI: 1003005489
Provider Name (Legal Business Name): ASSOCIATED PHYSICIANS INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/22/2007
Last Update Date: 10/22/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
912 E ACACIA AVE
HEMET CA
92543-4526
US
IV. Provider business mailing address
912 E ACACIA AVE
HEMET CA
92543-4526
US
V. Phone/Fax
- Phone: 951-658-1900
- Fax: 951-652-6164
- Phone: 951-658-1900
- Fax: 951-652-6164
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | DC16701 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | G74144 |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
CURITS
RAMON
LOEFFLER
Title or Position: PRESIDENT
Credential: D.C.
Phone: 951-658-1900