Provider Demographics
NPI:1548021140
Name:APEX NEMT SERVICES LLC
Entity type:Organization
Organization Name:APEX NEMT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILFRED
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:DOFREDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-315-4031
Mailing Address - Street 1:23302 LA VACA ST
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-4441
Mailing Address - Country:US
Mailing Address - Phone:714-315-4031
Mailing Address - Fax:
Practice Address - Street 1:23302 LA VACA ST
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-4441
Practice Address - Country:US
Practice Address - Phone:714-315-4031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)