# APPLECARE MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEDVANTX INC
- **Other names:** APPLECARE PHYSICIANS GROUP - DOWNEY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164760948
- **Legal business name:** MEDVANTX INC
- **Authorized official:** KENNY HEINE (VP OPS)
- **Authorized official phone:** (858) 964-1506

## Contact information

- **Practice address:** 11525 BROOKSHIRE AVE, 400, DOWNEY, CA 90241-4985
- **Practice address phone:** (562) 869-4497
- **Mailing address:** 5626 OBERLIN DR, 110, SAN DIEGO, CA 92121-1705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | A92218 | CA | Yes |

## Other

- **Enumeration date:** 01/29/2013
- **Last updated:** 01/29/2013