Healthcare Provider Details
I. General information
NPI: 1396444261
Provider Name (Legal Business Name): APPLE URGENT CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/28/2023
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1688 N PERRIS BLVD STE G2
PERRIS CA
92571-4744
US
IV. Provider business mailing address
PO BOX 1740
HEMET CA
92546-1740
US
V. Phone/Fax
- Phone: 951-940-4500
- Fax: 951-591-7161
- Phone: 951-925-2523
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SURYA
M
REDDY
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 951-925-2523