Healthcare Provider Details

I. General information

NPI: 1053187781
Provider Name (Legal Business Name): OPSC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2023
Last Update Date: 12/04/2023
Certification Date: 11/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 COMMERCE DRIVE
BAKERSFIELD CA
93309
US

IV. Provider business mailing address

548 MARKET ST UNIT 5106
SAN FRANCISCO CA
94104-5401
US

V. Phone/Fax

Practice location:
  • Phone: 661-377-2820
  • Fax: 661-377-2892
Mailing address:
  • Phone: 661-377-2820
  • Fax: 661-377-2892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROBERTA DEAN LAUGHLIN
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 661-377-2820