Healthcare Provider Details

I. General information

NPI: 1134914179
Provider Name (Legal Business Name): OPUS MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2025
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 POMONA RD STE 231
CORONA CA
92878-4324
US

IV. Provider business mailing address

1611 POMONA RD STE 231
CORONA CA
92878-4324
US

V. Phone/Fax

Practice location:
  • Phone: 888-959-8652
  • Fax:
Mailing address:
  • Phone: 888-959-8652
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ARNEL TEJONES
Title or Position: ASST ADMINISTRATOR
Credential: RN
Phone: 626-233-2148