# OPULISE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639073109
- **Authorized official:** RENITA LOIS ADIRA SUDRC III (MANAGER)
- **Authorized official phone:** (442) 473-9345

## Contact information

- **Practice address:** 9431 HAVEN AVE STE 100-1049, RANCHO CUCAMONGA, CA 91730-5878
- **Practice address phone:** (442) 473-9345
- **Mailing address:** 9431 HAVEN AVE, SUITE 100 PMB 1049, RANCHO CUCAMONGA, CA 91730
- **Mailing address phone:** (442) 473-9345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/07/2026
- **Last updated:** 10/07/2026