Organization
CVPAC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE TAPANG DITULLIO (CO-MANAGER)
(626) 523-8956
Entity
Organization
Contact information
Practice address
20554 ROSCOE BLVD, CANOGA PARK, CA 91306-1746
(818) 341-9800
(818) 533-6785
Mailing address
4016 GRAND AVE STE A-1064, CHINO, CA 91710-5491
(626) 523-8956
(626) 657-2778
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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