Healthcare Provider Details

I. General information

NPI: 1417851965
Provider Name (Legal Business Name): OPA SENIOR LIVING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5729 E SAN JUAN DR
ORANGE CA
92869-1427
US

IV. Provider business mailing address

5729 E SAN JUAN DR
ORANGE CA
92869-1427
US

V. Phone/Fax

Practice location:
  • Phone: 562-714-3383
  • Fax: 760-867-2732
Mailing address:
  • Phone: 562-714-3383
  • Fax: 760-867-2732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHET KHAY
Title or Position: ADMINISTRATOR
Credential: FNP
Phone: 562-714-3383