Healthcare Provider Details
I. General information
NPI: 1316590060
Provider Name (Legal Business Name): ACCESS PRIMARY CARE PHYSICIANS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/22/2019
Last Update Date: 12/20/2021
Certification Date: 12/20/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2870 S MARYLAND PKWY STE 120
LAS VEGAS NV
89109-1548
US
IV. Provider business mailing address
1100 W TOWN AND COUNTRY RD STE 1600
ORANGE CA
92868-4698
US
V. Phone/Fax
- Phone: 702-957-5975
- Fax: 702-800-5315
- Phone: 657-218-7630
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DONALD
S.
FURMAN
Title or Position: PRESIDENT
Credential:
Phone: 844-310-2247