Provider Demographics
NPI:1912385345
Name:APEX PERFUSION SERVICES, INC.
Entity Type:Organization
Organization Name:APEX PERFUSION SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:WORCESTER
Authorized Official - Suffix:
Authorized Official - Credentials:CCP
Authorized Official - Phone:619-252-6415
Mailing Address - Street 1:10531 4S COMMONS DR
Mailing Address - Street 2:SUITE 489
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127-3517
Mailing Address - Country:US
Mailing Address - Phone:619-252-6415
Mailing Address - Fax:800-850-7157
Practice Address - Street 1:10531 4S COMMONS DR
Practice Address - Street 2:SUITE 489
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92127-3517
Practice Address - Country:US
Practice Address - Phone:619-252-6415
Practice Address - Fax:800-850-7157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-18
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA290341-1396208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty