# OLIVIA ISABEL MANOR 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831051457
- **Authorized official:** TRICIA PEDROZA (LLC MEMBER)
- **Authorized official phone:** (858) 337-5674

## Contact information

- **Practice address:** 16222 SERENADE LN, HUNTINGTON BEACH, CA 92647-3567
- **Practice address phone:** (858) 337-5674
- **Mailing address:** 16222 SERENADE LN, HUNTINGTON BEACH, CA 92647-3567
- **Mailing address phone:** (858) 337-5674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/02/2025
- **Last updated:** 12/02/2025
