Healthcare Provider Details

I. General information

NPI: 1780027342
Provider Name (Legal Business Name): COMMUNITY HERITAGE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2013
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9550 BOLSA AVE STE 227
WESTMINSTER CA
92683-5948
US

IV. Provider business mailing address

9550 BOLSA AVE STE 227
WESTMINSTER CA
92683-5948
US

V. Phone/Fax

Practice location:
  • Phone: 657-900-4203
  • Fax: 657-218-5871
Mailing address:
  • Phone: 657-900-4203
  • Fax: 657-218-5871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANDREW MINH DUY LAM
Title or Position: CEO
Credential:
Phone: 657-900-4203