Organization
WP ENTERPRISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATSARA CHANTHARASETH (LICENSEE)
(657) 722-9269
Entity
Organization
Contact information
Practice address
11860 CONFLUENCE DR, JURUPA VALLEY, CA 91752-9269
(657) 722-9269
Mailing address
6305 NOBURY CT, EASTVALE, CA 92880-0751
(657) 722-7259
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
07/11/2025
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