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General NPI Number Information
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NPI Number | 1447482039
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Entity Type | Organization
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Legal Business Name | APOGEE MEDICAL GROUP CALIFORNIA INC.
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Dates
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Enumeration Date | 08/14/2009
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Last Update Date | 08/14/2009
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Provider Practice Location Address
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Address Line | 555 S 7TH AVE
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City | BARSTOW
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State | CA
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Zip | 92311-3043
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Country | US
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Telephone | 760-256-1761
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 708760
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City | SANDY
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State | UT
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Zip | 84070-8760
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Country | US
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Telephone | 801-352-9500
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Fax | 801-352-7976
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Authorized Official
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Title or Position | CREDENTIALING DIRECTOR
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Name | SHERRY MARTINEZ
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Credential |
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Telephone | 801-352-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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