# APPLE WEST MEDICAL, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366872962
- **Authorized official:** TOM SHANKLE (CEO)
- **Authorized official phone:** (510) 868-9175

## Contact information

- **Practice address:** 4000 HARLAN ST, EMERYVILLE, CA 94608-3604
- **Practice address phone:** (510) 868-9175
- **Practice address fax:** (855) 380-4834
- **Mailing address:** 4000 HARLAN ST, EMERYVILLE, CA 94608-3604
- **Mailing address phone:** (510) 868-9175
- **Mailing address fax:** (855) 380-4834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 11/18/2013
- **Last updated:** 11/18/2013