Provider Demographics
NPI:1154616639
Name:DO, APPLE
Entity type:Individual
Prefix:
First Name:APPLE
Middle Name:
Last Name:DO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2040 CALIFORNIA AVE
Mailing Address - Street 2:
Mailing Address - City:SAND CITY
Mailing Address - State:CA
Mailing Address - Zip Code:93955-3150
Mailing Address - Country:US
Mailing Address - Phone:831-583-9110
Mailing Address - Fax:831-583-9110
Practice Address - Street 1:2040 CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:SAND CITY
Practice Address - State:CA
Practice Address - Zip Code:93955-3150
Practice Address - Country:US
Practice Address - Phone:831-583-9110
Practice Address - Fax:831-583-9110
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-13
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58886183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist