Healthcare Provider Details

I. General information

NPI: 1194142778
Provider Name (Legal Business Name): CONTINUITY CALL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2014
Last Update Date: 03/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16350 VENTURA BLVD STE D318
ENCINO CA
91436-5300
US

IV. Provider business mailing address

16350 VENTURA BLVD STE D318
ENCINO CA
91436-5300
US

V. Phone/Fax

Practice location:
  • Phone: 818-465-8228
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY IDOKO
Title or Position: CEO
Credential: M.D.
Phone: 818-465-8228