# APEX PATHOLOGY MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831460146
- **Authorized official:** VINAY M RAO (ADMINISTRATOR)
- **Authorized official phone:** (951) 640-3027

## Contact information

- **Practice address:** 1117 E DEVONSHIRE AVE, DEPARTMENT OF PATHOLOGY, HEMET, CA 92543-3083
- **Practice address phone:** (951) 925-6318
- **Practice address fax:** (951) 766-6408
- **Mailing address:** PO BOX 10076, VAN NUYS, CA 91410-0076
- **Mailing address phone:** (805) 578-8300
- **Mailing address fax:** (805) 578-3911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZC0500X | Cytopathology Physician | 05D0573549 | CA | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 05D0573549 | CA | Yes |

## Other

- **Enumeration date:** 01/18/2012
- **Last updated:** 01/18/2012