Organization
VMPA 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
867 E 11TH ST, UPLAND, CA 91786-4867
(909) 985-1981
(909) 308-1103
Mailing address
4016 GRAND AVE STE A-1058, CHINO, CA 91710-5491
(626) 523-8956
(626) 657-2778
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT06136I
—
CA
Enumeration date
10/11/2022
Last updated
10/11/2022
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