Healthcare Provider Details

I. General information

NPI: 1124453055
Provider Name (Legal Business Name): APEX HEALTHCARE MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2013
Last Update Date: 06/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2390 E. FLORIDA AVE SUITE 105
HEMET CA
92544
US

IV. Provider business mailing address

41889 E. FLORIDA AVE
HEMET CA
92544
US

V. Phone/Fax

Practice location:
  • Phone: 951-652-8700
  • Fax: 951-492-4162
Mailing address:
  • Phone: 951-652-8700
  • Fax: 951-492-4162

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: JEANETTE R MOSCROP
Title or Position: ACTING DIRECTOR OF BUSINESS SERVICE
Credential:
Phone: 951-652-8700