Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Community Residential Care Program

Organization General Acute Care Hospital · NPI 1871691352

Community Residential Care Program is a General Acute Care Hospital in Los Angeles, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

1416 W 103rd St
Los Angeles, CA 90047-4510
Phone: (323) 777-0269
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X · Licence 483652 (CA)

Record details

NPI number1871691352
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Denise Polk — Registered Nurse · (310) 478-3711
NPI enumeratedSeptember 20, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1416 W 103rd St, Los Angeles, CA 90047-4510

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