MEDICARE: CMBP HOLDINGS INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1770135196
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CMBP HOLDINGS INC.

Provider Business Mailing Address
First Line	:	5101 E LA PALMA AVE STE 202G
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92807-2056
Country	:	US
Telephone Number	:	714-202-9886
Fax Number	:	714-683-2828

Provider Business Practice Location Address
First Line	:	5101 E LA PALMA AVE STE 202G
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92807-2056
Country	:	US
Telephone Number	:	714-202-9886
Fax Number	:	714-683-2828

Authorized Official
Title or Position	:	OWNER
Name	:	CRISTEL GOCO
Credential	:
Telephone Number	:	818-288-5779

Provider Enumeration Date	:	07/16/2019
Last Update Date	:	04/06/2026

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