Healthcare Provider Details

I. General information

NPI: 1811461338
Provider Name (Legal Business Name): CONTINUUM HEALTH AND MEDICAL CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2019
Last Update Date: 02/19/2020
Certification Date: 02/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7212 ORANGETHORPE AVE STE 9A
BUENA PARK CA
90621-4668
US

IV. Provider business mailing address

2201 N LAKEWOOD BLVD
LONG BEACH CA
90815-2552
US

V. Phone/Fax

Practice location:
  • Phone: 714-503-6550
  • Fax: 714-527-6563
Mailing address:
  • Phone: 714-598-3707
  • Fax: 714-422-0260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MARIO FERNANDO SAN BARTOLOME
Title or Position: PRESIDENT
Credential: MD
Phone: 714-598-3707