Healthcare Provider Details
I. General information
NPI: 1760541072
Provider Name (Legal Business Name): CONTINUUM MEDICAL ASSOCIATES,A PROFESSIONAL MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16453 COLORADO AVE
PARAMOUNT CA
90723-5011
US
IV. Provider business mailing address
3315 OCEAN FRONT WALK
MARINA DEL REY CA
90292-7806
US
V. Phone/Fax
- Phone: 562-406-7985
- Fax:
- Phone: 310-467-4924
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 146D00000X |
| Taxonomy | Personal Emergency Response Attendant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
VINCENT
JOSEPH
BENNETT
Title or Position: CEO
Credential: MD
Phone: 310-467-4924