Organization Active NPI

Opica Adult Day Care Center, Inc.

  • Adult Day Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1831670462
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
191603551 Issued in CA
Legal business name
OPICA ADULT DAY CARE CENTER, INC.
Practice address
11759 Missouri Ave
Los Angeles, CA 90025-1865
Phone
(310) 478-0226
Fax
(310) 478-2026
NPI assigned
Aug 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Michlovich
Title
Executive Director
Phone
(310) 478-0226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 191603551 CA Primary

Addresses

Primary practice location

11759 Missouri Ave
Los Angeles, CA 90025-1865

Mailing address

11759 Missouri Ave
Los Angeles, CA 90025-1865
Phone (310) 478-0226

Other identifiers 1

IdentifierTypeStateIssuer
191603551OtherCACOMMUNITY CARE LICENSING

Other names 1

  • OPICA Adult Day Program & Counseling Center Doing business as

National Provider Directory

National Provider Directory

Locations

11759 Missouri Ave
West Los Angeles, CA 90025
Phone (310) 478-0226

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1831670462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11759 MISSOURI AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251865",
            "telephone_number": "310-478-0226",
            "fax_number": "310-478-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11759 MISSOURI AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251865",
            "telephone_number": "310-478-0226",
            "fax_number": "310-478-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPICA ADULT DAY CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "MICHLOVICH",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-478-0226"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "191603551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CARE LICENSING",
            "identifier": "191603551",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPICA Adult Day Program & Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.