Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

13075 Blackbird Street Opco, LLC

Organization Skilled Nursing Facility · NPI 1497512693

13075 Blackbird Street Opco, LLC is a Skilled Nursing Facility in Garden Grove, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13075 Blackbird St
Garden Grove, CA 92843-2902
Phone: (714) 530-6322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1497512693
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Avrohom Tress — Manager Of Bold Quail 3 Operations · (310) 730-4800
Other names Alta Gardens Care Center
NPI enumeratedMarch 4, 2024
Last updated in NPPESMarch 4, 2024
Certification dateMarch 4, 2024
Mailing address9526 W Pico Blvd, Los Angeles, CA 90035-1202

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