=====================================================
General NPI Number Information
=====================================================
NPI Number | 1639496961
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AP ASSETS CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/27/2010
-----------------------------------------------------
Last Update Date | 12/17/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 25485 MEDICAL CENTER DR STE 110
-----------------------------------------------------
City | MURRIETA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92562-6927
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 951-698-4505
-----------------------------------------------------
Fax | 951-698-4506
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 25485 MEDICAL CENTER DR STE 110
-----------------------------------------------------
City | MURRIETA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92562-6927
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 951-698-4505
-----------------------------------------------------
Fax | 951-698-4506
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO / PIC
-----------------------------------------------------
Name | PAUL KIM
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 951-698-4505
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | PHY51909
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------