Healthcare Provider Details

I. General information

NPI: 1518220615
Provider Name (Legal Business Name): OPHC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2012
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9166 TUJUNGA CANYON BLVD
TUJUNGA CA
91042-3462
US

IV. Provider business mailing address

9166 TUJUNGA CANYON BLVD
TUJUNGA CA
91042-3462
US

V. Phone/Fax

Practice location:
  • Phone: 626-793-6152
  • Fax: 818-951-5797
Mailing address:
  • Phone: 818-352-4426
  • Fax: 818-951-5797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. STEVEN BERGER
Title or Position: MANAGING MEMBER
Credential:
Phone: 818-352-4426