Healthcare Provider Details

I. General information

NPI: 1538005863
Provider Name (Legal Business Name): COMMUNITY BRIDGE FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 CENTERPOINTE DR 7TH FLOOR #748
LA PALMA CA
90623
US

IV. Provider business mailing address

6 CENTERPOINTE DR 7TH FLOOR #748
LA PALMA CA
90623
US

V. Phone/Fax

Practice location:
  • Phone: 714-227-6183
  • Fax:
Mailing address:
  • Phone: 714-227-6183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. THU KAREN PHAM
Title or Position: FOUNDER
Credential:
Phone: 714-227-6183