Healthcare Provider Details

I. General information

NPI: 1356117972
Provider Name (Legal Business Name): APPLE URGENT CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2023
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 N STATE ST STE A
SAN JACINTO CA
92583-6567
US

IV. Provider business mailing address

PO BOX 1740
HEMET CA
92546-1740
US

V. Phone/Fax

Practice location:
  • Phone: 951-654-2300
  • Fax:
Mailing address:
  • Phone: 951-925-2523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. SURYA M REDDY
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 951-925-2523