Healthcare Provider Details

I. General information

NPI: 1053680181
Provider Name (Legal Business Name): APEX HEALTHCARE MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2011
Last Update Date: 09/23/2020
Certification Date: 09/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 E LATHAM AVE STE A
HEMET CA
92543-4423
US

IV. Provider business mailing address

41889 E. FLORIDA AVE
HEMET CA
92544-5042
US

V. Phone/Fax

Practice location:
  • Phone: 951-929-8400
  • Fax: 951-929-8411
Mailing address:
  • Phone: 951-652-8700
  • Fax: 951-492-4159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: SANDRA ZARAGOZA
Title or Position: DIRECTOR OF CLINIC OPERATIONS
Credential:
Phone: 951-652-8700