Healthcare Provider Details

I. General information

NPI: 1184592982
Provider Name (Legal Business Name): APMC MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2025
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10921 WILSHIRE BLVD STE 1111
LOS ANGELES CA
90024-4005
US

IV. Provider business mailing address

10921 WILSHIRE BLVD STE 1111
LOS ANGELES CA
90024-4005
US

V. Phone/Fax

Practice location:
  • Phone: 424-427-5425
  • Fax:
Mailing address:
  • Phone: 424-427-5425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JODIE DEANNA REISBORD
Title or Position: PRESIDENT
Credential: MD
Phone: 424-427-5425