Organization
CSULB NURSING PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF ADAMS RN, MHCNP (NURSING INSTRUCTOR)
(310) 940-9413
Entity
Organization
Contact information
Practice address
23527 KATHRYN AVE, TORRANCE, CA 90505-4519
(310) 738-6844
Mailing address
23527 KATHRYN AVE, TORRANCE, CA 90505-4519
(310) 738-6844
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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