Provider Demographics
NPI:1811193618
Name:APEX HEALTHCARE MEDICAL CENTER INC
Entity Type:Organization
Organization Name:APEX HEALTHCARE MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BLANCHE
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-929-0444
Mailing Address - Street 1:391 N SAN JACINTO AVE
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543-3118
Mailing Address - Country:US
Mailing Address - Phone:951-929-6003
Mailing Address - Fax:951-929-0050
Practice Address - Street 1:391 N SAN JACINTO AVE
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-3118
Practice Address - Country:US
Practice Address - Phone:951-929-6003
Practice Address - Fax:951-929-0050
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:APEX HEALTHCARE MEDICAL CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-06-27
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ25668ZMedicare PIN