Healthcare Provider Details

I. General information

NPI: 1053425470
Provider Name (Legal Business Name): THE CENTER FOR CONTINENCE CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2763 E SHAW AVE SUITE 102
FRESNO CA
93710-8220
US

IV. Provider business mailing address

948 MOODY AVE
CLOVIS CA
93619-7553
US

V. Phone/Fax

Practice location:
  • Phone: 559-294-8112
  • Fax: 559-294-7805
Mailing address:
  • Phone: 559-299-6592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberG68291
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number373569
License Number StateCA

VIII. Authorized Official

Name: MS. MARILYN-LU WEBB
Title or Position: VICE PRESIDENT
Credential: NP-BC, PHD
Phone: 559-299-6592