Healthcare Provider Details

I. General information

NPI: 1902688856
Provider Name (Legal Business Name): OPUS HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2023
Last Update Date: 10/16/2023
Certification Date: 10/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1242 FOOTHILL BLVD
SANTA ANA CA
92705-3045
US

IV. Provider business mailing address

3400 IRVINE AVE STE 118
NEWPORT BEACH CA
92660-3102
US

V. Phone/Fax

Practice location:
  • Phone: 949-836-6793
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: BLAKE VINCENT
Title or Position: COO
Credential:
Phone: 949-836-6793