# 1030 WARNER AVENUE I OPCO, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** SANTA ANA TRC, South Coast Post Acute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508565987
- **Authorized official:** PAMELA D SHAW (SVP RCM)
- **Authorized official phone:** (760) 445-0699

## Contact information

- **Practice address:** 1030 W WARNER AVE, SANTA ANA, CA 92707-3147
- **Practice address phone:** (714) 547-6450
- **Mailing address:** 1030 W WARNER AVE, SANTA ANA, CA 92707-3147
- **Mailing address phone:** (714) 546-6450
- **Mailing address fax:** (714) 546-8411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 02/24/2023
- **Last updated:** 07/29/2024
