OPICA ADULT DAY CARE CENTER, INC.


Address: 11759 Missouri Ave, Los Angeles, CA 90025-1865
Phone: 3104780226

OPICA ADULT DAY CARE CENTER, INC. (NPI# 1831670462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831670462
Entity Type Organization
Organization Name OPICA ADULT DAY CARE CENTER, INC.
Other Organization Name OPICA ADULT DAY PROGRAM & COUNSELING CENTER
Practice Address 11759 Missouri Ave
Los Angeles
CA 90025-1865
Practice Telephone 3104780226
Practice Fax Number 3104782026
Mailing Telephone 3104780226
Mailing Fax Number 3104782026
Enumeration Date 2018-08-22
Last Update Date 2018-08-22
Authorized Official Name MARY MICHLOVICH (EXECUTIVE DIRECTOR)
Authorized Official Telephone 3104780226
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA0600X Clinic/Center
Specialization: Adult Day Care
191603551 CA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA COMMUNITY CARE LICENSING 191603551 01

Other Provider/Organization Names

Other Name Type Code
OPICA Adult Day Program & Counseling Center Doing Business As Name - Organization

Office Location

Street Address 11759 MISSOURI AVE
City LOS ANGELES
State CA
Zip Code 90025-1865

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1578118857 Gregory J Bogie Physical Therapist 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 2019-08-05
1518527712 David Allen Goldstein Marriage & Family Therapist 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 2019-06-19
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1477028819 Flora Ma Nurse Practitioner 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 2018-10-12
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1902387160 Angelica Carmen Regalado Behavior Technician 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 2018-08-26
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Taxonomy Information

Taxonomy Code 261QA0600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Day Care

Taxonomy Definition

Definition to come...

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1558921601 Crenshaw Community Center LLC Clinic/Center 1060 Crenshaw Blvd, Los Angeles, CA 90019-1900 2019-06-19
1760042915 Koreatown Senior Center LLC Clinic/Center 3400 W Olympic Blvd, Los Angeles, CA 90019-2122 2019-06-19
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Competitor

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City LOS ANGELES
Zip Code 90025

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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