Provider Demographics
NPI:1811357098
Name:APOLLO HEALTH CARE CENTER
Entity type:Organization
Organization Name:APOLLO HEALTH CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERNIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SEEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANGWAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-900-8077
Mailing Address - Street 1:877 W FREMONT AVE
Mailing Address - Street 2:STE N-1
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-2315
Mailing Address - Country:US
Mailing Address - Phone:408-900-8077
Mailing Address - Fax:844-965-9436
Practice Address - Street 1:877 W FREMONT AVE
Practice Address - Street 2:STE N-1
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-2315
Practice Address - Country:US
Practice Address - Phone:408-900-8077
Practice Address - Fax:844-965-9436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-01
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA78098261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A780980Medicaid
CA115596Medicare PIN
H73974Medicare UPIN