Healthcare Provider Details

I. General information

NPI: 1487716304
Provider Name (Legal Business Name): APEX MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 WELLNESS WAY STE 200
LAS VEGAS NV
89106-4146
US

IV. Provider business mailing address

1701 WELLNESS WAY STE 200
LAS VEGAS NV
89106-4146
US

V. Phone/Fax

Practice location:
  • Phone: 702-310-9110
  • Fax: 702-310-9114
Mailing address:
  • Phone: 702-310-9110
  • Fax: 702-310-9114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number8421
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JASMINE CORRAL
Title or Position: OFFICE MANAGER
Credential:
Phone: 702-310-9110