Healthcare Provider Details

I. General information

NPI: 1164799425
Provider Name (Legal Business Name): APEX HEALTHCARE MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2011
Last Update Date: 02/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 W FLORIDA AVE
HEMET CA
92543-3817
US

IV. Provider business mailing address

41889 E FLORIDA AVE
HEMET CA
92544-5042
US

V. Phone/Fax

Practice location:
  • Phone: 951-929-1333
  • Fax: 951-929-1377
Mailing address:
  • Phone: 951-652-8700
  • Fax: 951-766-9944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: JEANETTE MOSCROP
Title or Position: ADMINISTRATOR
Credential:
Phone: 909-754-6483