Provider Demographics
NPI:1720741606
Name:VERTEX HEALTHCARE INC
Entity Type:Organization
Organization Name:VERTEX HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ANG
Authorized Official - Last Name:CHUA
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:747-313-7152
Mailing Address - Street 1:3111 W BEVERLY BLVD
Mailing Address - Street 2:
Mailing Address - City:MONTEBELLO
Mailing Address - State:CA
Mailing Address - Zip Code:90640-2216
Mailing Address - Country:US
Mailing Address - Phone:747-313-7152
Mailing Address - Fax:
Practice Address - Street 1:3111 W BEVERLY BLVD
Practice Address - Street 2:
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-2216
Practice Address - Country:US
Practice Address - Phone:747-313-7152
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-18
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty