Provider Demographics
NPI:1013222561
Name:WESTBRIDGE HOME HEALTH
Entity Type:Organization
Organization Name:WESTBRIDGE HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT-CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LOMIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CODIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-910-3256
Mailing Address - Street 1:171 N. LABREA., SUITE 206
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-1244
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:171 N. LABREA, SUITE 206
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-1244
Practice Address - Country:US
Practice Address - Phone:310-910-3256
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health