Healthcare Provider Details

I. General information

NPI: 1639496961
Provider Name (Legal Business Name): AP ASSETS CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2010
Last Update Date: 12/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25485 MEDICAL CENTER DR STE 110
MURRIETA CA
92562-6927
US

IV. Provider business mailing address

25485 MEDICAL CENTER DR STE 110
MURRIETA CA
92562-6927
US

V. Phone/Fax

Practice location:
  • Phone: 951-698-4505
  • Fax: 951-698-4506
Mailing address:
  • Phone: 951-698-4505
  • Fax: 951-698-4506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY51909
License Number StateCA

VIII. Authorized Official

Name: PAUL KIM
Title or Position: CEO / PIC
Credential:
Phone: 951-698-4505