Individual provider · NPI-1
Jacob Gregory Alvarez
Case Manager/Care Coordinator · Torrance, CA
NPI number1508160292
StatusActive
Last updated in NPPESOct 20, 2011
Details
- NPI
- 1508160292
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jacob Gregory Alvarez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 10, 2011
- Last updated
- Oct 20, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
4025 W 226th StTorrance, CA 90505-2340
Phone 310-373-4556
Mailing address
4025 W 226th StTorrance, CA 90505-2340
Phone 310-373-4556
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