Basic Information
Provider Information
NPI: 1669899225
EntityType: 2
ReplacementNPI:  
OrganizationName: APEX HOSPITALIST MEDICAL GROUP INC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 890 W STETSON AVE
Address2: B
City: HEMET
State: CA
PostalCode: 925437311
CountryCode: US
TelephoneNumber: 9515376002
FaxNumber: 9515376013
Practice Location
Address1: 1117 E DEVONSHIRE AVE
Address2:  
City: HEMET
State: CA
PostalCode: 925433083
CountryCode: US
TelephoneNumber: 9515376002
FaxNumber: 9515376013
Other Information
ProviderEnumerationDate: 03/20/2014
LastUpdateDate: 03/20/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: CHAUDHURI
AuthorizedOfficialFirstName: KALI
AuthorizedOfficialMiddleName: P
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 9516525700
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


Home