Provider Demographics
NPI:1538465810
Name:APOLLO HEALTHCARE INC
Entity Type:Organization
Organization Name:APOLLO HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:IPA ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:CAREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-702-0100
Mailing Address - Street 1:6400 CANOGA AVE
Mailing Address - Street 2:SUITE 163
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-2425
Mailing Address - Country:US
Mailing Address - Phone:818-702-0100
Mailing Address - Fax:818-702-9128
Practice Address - Street 1:6400 CANOGA AVE
Practice Address - Street 2:SUITE 163
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-2425
Practice Address - Country:US
Practice Address - Phone:818-702-0100
Practice Address - Fax:818-702-9128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-02
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty