Healthcare Provider Details

I. General information

NPI: 1467726638
Provider Name (Legal Business Name): OSO HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2012
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2811 N LIMA STREET
BURBANK CA
91504-2511
US

IV. Provider business mailing address

17175 GILLETTE AVE
IRVINE CA
92614
US

V. Phone/Fax

Practice location:
  • Phone: 818-557-0308
  • Fax: 818-433-7662
Mailing address:
  • Phone: 949-660-7126
  • Fax: 949-660-7138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. RANDY DOUGLAS BOHART
Title or Position: PRESIDENT
Credential: PHARM D
Phone: 949-660-7126