1B
13075 BLACKBIRD STREET OPCO, LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
GARDEN GROVE, CA
Licensed since
2024
Rate
—
Federal identifiers
NPI registry number1497512693
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameAVROHOM TRESS
TitleMANAGER OF BOLD QUAIL 3 OPERATIONS
Phone7145306322
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Source: NPI Registry · Last refreshed June 24, 2026