Healthcare Provider Details
I. General information
NPI: 1447160320
Provider Name (Legal Business Name): APEX HEALTHCARE NURSING PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
30439 MAHOGANY ST
MURRIETA CA
92563-3533
US
IV. Provider business mailing address
30439 MAHOGANY ST
MURRIETA CA
92563-3533
US
V. Phone/Fax
- Phone: 951-581-0723
- Fax:
- Phone: 951-581-0723
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANDY
KHUONG
NGUYEN
Title or Position: PRESIDENT
Credential: NURSE PRACTITIONER
Phone: 951-581-0723