Organization
APNA HEALTH CLINIC, INC.
Active
Parent organization
MEDVANTX, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
4105 W SWIFT AVE, SUITE 101, FRESNO, CA 93722-6385
(559) 840-4200
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
A101525
CA
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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