Healthcare Provider Details

I. General information

NPI: 1265711089
Provider Name (Legal Business Name): APEX EMERGENCY MEDICAL GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2011
Last Update Date: 08/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1117 E DEVONSHIRE AVE
HEMET CA
92543-3083
US

IV. Provider business mailing address

PO BOX 11599
WESTMINSTER CA
92685-1599
US

V. Phone/Fax

Practice location:
  • Phone: 951-652-2811
  • Fax:
Mailing address:
  • Phone: 562-468-0227
  • Fax: 562-924-5830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: TODD C. HANNA
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 951-652-2811