Healthcare Provider Details

I. General information

NPI: 1972395796
Provider Name (Legal Business Name): APEX CRITICAL CARE INC A MEDICAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 05/19/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2029 VERDUGO ROAD UNIT 1024
MONTROSE CA
91020-1626
US

IV. Provider business mailing address

2029 VERDUGO BLVD UNIT 1024
MONTROSE CA
91020-1626
US

V. Phone/Fax

Practice location:
  • Phone: 818-306-1477
  • Fax: 818-306-1478
Mailing address:
  • Phone: 818-939-8392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SHANT SHIRVANIAN
Title or Position: PRESIDENT
Credential: MD
Phone: 818-939-8392