Healthcare Provider Details

I. General information

NPI: 1457472664
Provider Name (Legal Business Name): APEX HEALTHCARE MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 06/15/2020
Certification Date: 06/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28400 MCCALL BLVD STE B10
MENIFEE CA
92585-9658
US

IV. Provider business mailing address

41889 E FLORIDA AVE
HEMET CA
92544
US

V. Phone/Fax

Practice location:
  • Phone: 951-414-2020
  • Fax: 951-414-2021
Mailing address:
  • Phone: 951-652-8700
  • Fax: 951-492-4159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA38313
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KALI P CHAUDHURI
Title or Position: PRESIDENT
Credential: MD
Phone: 951-672-3379