MEDICARE: OC HEALTH, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1598375172
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OC HEALTH, INC.

Provider Business Mailing Address
First Line	:	886 E CAMERON CT
Second Line	:
City	:	BREA
State	:	CA
Zip	:	92821-7310
Country	:	US
Telephone Number	:	714-932-7373
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 W CORPORATE WAY
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92801-5373
Country	:	US
Telephone Number	:	714-932-7373
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHIAPING JUAN
Credential	:
Telephone Number	:	714-932-7373

Provider Enumeration Date	:	08/07/2020
Last Update Date	:	08/18/2021

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