Healthcare Provider Details

I. General information

NPI: 1447455423
Provider Name (Legal Business Name): APEX HEALTHCARE MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2007
Last Update Date: 09/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 W FLORIDA AVE SUITE D
HEMET CA
92543-3825
US

IV. Provider business mailing address

1525 W FLORIDA AVE SUITE D
HEMET CA
92543-3825
US

V. Phone/Fax

Practice location:
  • Phone: 951-929-6777
  • Fax: 951-658-8390
Mailing address:
  • Phone: 951-929-6777
  • Fax: 951-658-8390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA118890
License Number StateCA

VIII. Authorized Official

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