Provider Demographics
NPI:1407095755
Name:BIG APPLE PHYSICIANS LLC
Entity Type:Organization
Organization Name:BIG APPLE PHYSICIANS LLC
Other - Org Name:BIG APPLE PHYSICIANS WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEE
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:L'ARCHEVEQUE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-694-0400
Mailing Address - Street 1:PO BOX 788
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92546-0788
Mailing Address - Country:US
Mailing Address - Phone:951-692-9626
Mailing Address - Fax:951-765-2855
Practice Address - Street 1:31843 RANCHO CALIFORNIA RD
Practice Address - Street 2:SUITE B200
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-5120
Practice Address - Country:US
Practice Address - Phone:951-694-0400
Practice Address - Fax:951-694-0441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-10
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty