MEDICARE: APEX AMBULATORY SURGERY CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1255846762
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APEX AMBULATORY SURGERY CENTER INC

Provider Business Mailing Address
First Line	:	1241 E HILLSDALE BLVD STE 210
Second Line	:
City	:	FOSTER CITY
State	:	CA
Zip	:	94404-1296
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1241 E HILLSDALE BLVD STE 210
Second Line	:
City	:	FOSTER CITY
State	:	CA
Zip	:	94404-1296
Country	:	US
Telephone Number	:	650-667-2322
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	JULIE ANN CARPENTIERI
Credential	:
Telephone Number	:	510-399-0221

Provider Enumeration Date	:	12/06/2017
Last Update Date	:	02/17/2023

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