Provider Demographics
NPI:1114226040
Name:PEAK HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:PEAK HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:E
Authorized Official - Last Name:ABOLOJE
Authorized Official - Suffix:
Authorized Official - Credentials:CAS
Authorized Official - Phone:213-909-5887
Mailing Address - Street 1:301 E FLORIDA AVE STE E
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543-4253
Mailing Address - Country:US
Mailing Address - Phone:213-909-5887
Mailing Address - Fax:
Practice Address - Street 1:301 E FLORIDA AVE STE E
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-4253
Practice Address - Country:US
Practice Address - Phone:213-909-5887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health