Provider Demographics
NPI:1205599024
Name:APOGEE HEALTH SOLUTIONS LPC
Entity type:Organization
Organization Name:APOGEE HEALTH SOLUTIONS LPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:S
Authorized Official - Last Name:WILDISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-378-3605
Mailing Address - Street 1:PO BOX 2069
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92516-2069
Mailing Address - Country:US
Mailing Address - Phone:951-368-0428
Mailing Address - Fax:951-368-0429
Practice Address - Street 1:5750 DIVISION ST STE 208
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-3269
Practice Address - Country:US
Practice Address - Phone:951-368-0428
Practice Address - Fax:951-368-0429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-19
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG77449OtherSTATE LICENSE