# CRPA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669197620
- **Authorized official:** CAROLINE TAPANG DITULLIO (CO-MANAGER)
- **Authorized official phone:** (626) 523-8956

## Contact information

- **Practice address:** 525 S CENTRAL AVE, GLENDALE, CA 91204-2006
- **Practice address phone:** (818) 240-1610
- **Practice address fax:** (818) 845-1169
- **Mailing address:** 4016 GRAND AVE STE A-1056, CHINO, CA 91710-5491
- **Mailing address phone:** (626) 523-8956
- **Mailing address fax:** (626) 657-2776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2022
- **Last updated:** 10/11/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT06190F | — | CA |