Healthcare Provider Details

I. General information

NPI: 1336716489
Provider Name (Legal Business Name): CONTINUEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2021
Last Update Date: 06/25/2021
Certification Date: 06/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6430 SOUTH ST
LAKEWOOD CA
90713-1713
US

IV. Provider business mailing address

6430 SOUTH ST
LAKEWOOD CA
90713-1713
US

V. Phone/Fax

Practice location:
  • Phone: 310-210-8895
  • Fax:
Mailing address:
  • Phone: 949-887-0114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FREDDY SOTELO
Title or Position: CEO/FOUNDER
Credential: MD
Phone: 310-210-8895