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Organization
APPLECARE MEDICAL GROUP, INC.
Active
Organization
APPLECARE MEDICAL GROUP, INC.
Active
Parent organization
MEDVANTX INC
Other names
APPLECARE PHYSICIANS GROUP - DOWNEY
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX INC
Authorized official
KENNY HEINE (VP OPS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
11525 BROOKSHIRE AVE, 400, DOWNEY, CA 90241-4985
(562) 869-4497
Mailing address
5626 OBERLIN DR, 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
A92218
CA
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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