Healthcare Provider Details

I. General information

NPI: 1730385535
Provider Name (Legal Business Name): APEX HEALTHCARE MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2007
Last Update Date: 07/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2390 E FLORIDA AVE STE 101
HEMET CA
92544-4707
US

IV. Provider business mailing address

2390 E FLORIDA AVE STE 101
HEMET CA
92544-4707
US

V. Phone/Fax

Practice location:
  • Phone: 951-658-7297
  • Fax: 951-925-6447
Mailing address:
  • Phone: 951-658-7297
  • Fax: 951-925-6447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: ROSE GUTIERREZ
Title or Position: MANAGER
Credential:
Phone: 951-652-8700