Most Relevant Information
Provider Data
| NPI Number: | 1003578147 |
| Provider Name: | ALECIA BRIDGEFORT BA |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/06/2021 |
| Last Updated: | 12/06/2023 |
Provider Practice Location
16580 HARBOR BLVD STE M
FOUNTAIN VALLEY
CA
927081385
Practice Location Phone/Fax
| Phone: | 7146596380 |
| Fax: |
Provider Mailing Location
16580 HARBOR BLVD STE M
FOUNTAIN VALLEY
CA
927081385
Provider Mailing Phone/Fax
| Phone: | 7146596380 |
| Fax: |