Organization
APEX RADIOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK EUGENE WHITE D.O. (PRESIDENT)
(951) 658-9243
Entity
Organization
Contact information
Practice address
1117 E DEVONSHIRE AVE, HEMET, CA 92543-3083
(951) 652-2811
(951) 766-6477
Mailing address
890 W STETSON AVE, SUITE B, HEMET, CA 92543-7311
(951) 537-6002
(951) 537-6013
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750650982
NPI FOR APEX
—
01
—
GA516A
PTAN-SOUTHERN CA
CA
01
—
GA516B
PTAN-NORTHERN CA
CA
Enumeration date
12/16/2011
Last updated
10/21/2015
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