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Individual

ADRIAN TERNORA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
510 S VERMONT AVE, LOS ANGELES, CA 90020-1912
(800) 854-7771
Mailing address
510 S VERMONT AVE, LOS ANGELES, CA 90020-1912
(800) 854-7771

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
41181
CA
167G00000X
Licensed Psychiatric Technician
PT41181
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
19AN
CA
05
7194
CA
Enumeration date
03/15/2019
Last updated
12/01/2023
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