Provider Demographics
NPI:1538746946
Name:AN APPLE A DAY, LLC
Entity type:Organization
Organization Name:AN APPLE A DAY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-694-5001
Mailing Address - Street 1:10780 SANTA MONICA BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-7617
Mailing Address - Country:US
Mailing Address - Phone:310-694-5001
Mailing Address - Fax:310-694-5004
Practice Address - Street 1:10780 SANTA MONICA BLVD STE 208
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-7617
Practice Address - Country:US
Practice Address - Phone:310-694-5001
Practice Address - Fax:310-694-5004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-24
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA194700073OtherHCO LICENSE - STATE OF CALIFORNIA