Adams, Koresh Jaffa
Adams, Koresh Jaffa is an sole proprietor health care provider with primary practice located at 171 Dutton Ave , San Leandro CA 94577-2840. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Adams, Koresh Jaffa can be contacted via phone (510) 453-3330.Contact Information
Primary practice address
171 Dutton Ave
San Leandro CA 94577-2840
Phone: (510) 453-3330
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
NPI number | 1518006022 |
---|---|
LBN Legal business name | Adams, Koresh Jaffa |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 5th, 2007 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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