Healthcare Provider Details

I. General information

NPI: 1740995992
Provider Name (Legal Business Name): APEX RETINA INSTITUTE INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2023
Last Update Date: 01/20/2023
Certification Date: 01/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2880 ATLANTIC AVE STE 290
LONG BEACH CA
90806-1716
US

IV. Provider business mailing address

2880 ATLANTIC AVE STE 290
LONG BEACH CA
90806-1716
US

V. Phone/Fax

Practice location:
  • Phone: 562-534-1777
  • Fax: 562-534-1772
Mailing address:
  • Phone: 562-534-1777
  • Fax: 562-534-1772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DARREN KNIGHT
Title or Position: PHYSICIAN
Credential: MD
Phone: 562-534-1777