MEDICARE: MS. LATRICIA MARIE BRIDGES CCAPP CERTIFICATION

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	172V00000X	Community Health Worker	C18621214	CA

General Provider Information

NPI Number	:	1871711879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LATRICIA MARIE BRIDGES CCAPP CERTIFICATION

Provider Business Mailing Address
First Line	:	470 E 3RD ST STE C
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90013-1630
Country	:	US
Telephone Number	:	213-620-5712
Fax Number	:

Provider Business Practice Location Address
First Line	:	470 E 3RD ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90013-1629
Country	:	US
Telephone Number	:	213-620-5712
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	07/31/2023

Similar Medicare Providers

1184386401 — DANNY SUAZO
Practice Location Address:

470 E 3RD ST STE A&B
LOS ANGELES, CA
90013-1629

Practice Phone: 213-626-6411
Practice Fax:

1942132915 — ERIKA ASHLEY COTE
Practice Location Address:

470 E 3RD ST
LOS ANGELES, CA
90013-1629

Practice Phone: 213-620-5712
Practice Fax:

1811028863 — SPECIAL SERVICE FOR GROUPS, INC.
Practice Location Address:

470 E 3RD ST
LOS ANGELES, CA
90013-1629

Practice Phone: 213-620-5712
Practice Fax: 213-621-4155

1679792303 — MR. DAVID EDWARD DANIEL M.A.
Practice Location Address:

470 E 3RD ST , SUITE A
LOS ANGELES, CA
90013-1629

Practice Phone: 213-210-6036
Practice Fax: 213-626-8115

1457663502 — MR. COLBY EARL GRAY BA
Practice Location Address:

470 E 3RD ST , SUITE C
LOS ANGELES, CA
90013-1629

Practice Phone: 213-620-5712
Practice Fax:

1023393402 — MISS ANGELIQUE N EADY
Practice Location Address:

470 E 3RD ST , STE C
LOS ANGELES, CA
90013-1629

Practice Phone: 213-620-5712
Practice Fax: 213-621-4155

Directions to “ MS. LATRICIA MARIE BRIDGES CCAPP CERTIFICATION” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.