Healthcare Provider Details

I. General information

NPI: 1619829355
Provider Name (Legal Business Name): CRENSHAW ARF LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2026
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5140 CRENSHAW BLVD
LOS ANGELES CA
90043-1800
US

IV. Provider business mailing address

5967 W 3RD ST STE 360
LOS ANGELES CA
90036-2890
US

V. Phone/Fax

Practice location:
  • Phone: 562-544-5170
  • Fax:
Mailing address:
  • Phone: 323-217-7877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: SHLOMO ARON
Title or Position: LLC MEMBER
Credential:
Phone: 323-217-7877