Organization
ILLUMINATION HEALTH AND HOME
Active
Other names
Illumination Foundation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. POOJA BHALLA DNP, RN (CEO)
(949) 502-0339
Entity
Organization
Contact information
Practice address
3535 W COMMONWEALTH AVE, FULLERTON, CA 92833-2821
(949) 273-0555
Mailing address
2871 PULLMAN ST, SANTA ANA, CA 92705-5713
(949) 273-0555
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10055
—
CA
Enumeration date
09/17/2012
Last updated
08/07/2025
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