Healthcare Provider Details

I. General information

NPI: 1285590927
Provider Name (Legal Business Name): OPC PT PROVIDERS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2025
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22151 VENTURA BLVD STE 102
WOODLAND HILLS CA
91364-1587
US

IV. Provider business mailing address

22151 VENTURA BLVD STE 102
WOODLAND HILLS CA
91364-1587
US

V. Phone/Fax

Practice location:
  • Phone: 818-888-7772
  • Fax: 818-888-7773
Mailing address:
  • Phone: 818-888-7772
  • Fax: 818-888-7773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: SOHEILA DELRAHIM
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 818-888-7772