Healthcare Provider Details
I. General information
NPI: 1437878634
Provider Name (Legal Business Name): OSP HEALTH MANAGEMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/23/2022
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2626 DUPONT DR STE A10
IRVINE CA
92612-1607
US
IV. Provider business mailing address
PO BOX 14554
IRVINE CA
92623-4554
US
V. Phone/Fax
- Phone: 626-864-9955
- Fax:
- Phone: 626-864-9955
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MAY
KWOK
Title or Position: OWNER
Credential:
Phone: 626-864-9955