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Organization

CORE COMMUNITY SUPPORTS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSHUA JAMES KLEINBERGS MSW (PROGRAM DIRECTOR)
(323) 204-0200
Entity
Organization

Contact information

Practice address
5005 S LA BREA AVE, LOS ANGELES, CA 90056-1803
(323) 204-0200
(323) 204-0220
Mailing address
4500 PARK GRANADA STE 202, CALABASAS, CA 91302-1666
(323) 204-0200
(323) 204-0220

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
177F00000X
Lodging Provider
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
251X00000X
Supports Brokerage Agency
261QR0800X
Recovery Care Clinic/Center
385H00000X
Respite Care
Primary

Other

Enumeration date
12/02/2025
Last updated
12/02/2025
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