Provider Demographics
NPI:1760838312
Name:APOLIS INDUSTRIAL MULTISPECIALTY INC.
Entity Type:Organization
Organization Name:APOLIS INDUSTRIAL MULTISPECIALTY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:ROSARIO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:714-495-4050
Mailing Address - Street 1:1950 E 17TH ST
Mailing Address - Street 2:SUITE 215
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-6852
Mailing Address - Country:US
Mailing Address - Phone:714-495-4050
Mailing Address - Fax:
Practice Address - Street 1:1950 E 17TH ST
Practice Address - Street 2:SUITE 215
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-6852
Practice Address - Country:US
Practice Address - Phone:714-495-4050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-12
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty