Organization
APEX ANNEX HEALTH CENTER,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH DIANE PERRY (ADMINISTRATOR)
(209) 826-2222
Entity
Organization
Contact information
Practice address
400 WEST I STREET, SUITE A, LOS BANOS, CA 93635
(209) 827-9999
(209) 827-0011
Mailing address
400 W I ST, SUITE A, LOS BANOS, CA 93635-3459
(209) 827-9999
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3938036
ARTICLES OF INCORPORATION
CA
Enumeration date
09/08/2016
Last updated
07/21/2022
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