Healthcare Provider Details

I. General information

NPI: 1801708458
Provider Name (Legal Business Name): CONTINUUM HEALTH GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12030 REDCLIFF CT
SAN DIEGO CA
92131-2617
US

IV. Provider business mailing address

302 WASHINGTON ST
SAN DIEGO CA
92103-2110
US

V. Phone/Fax

Practice location:
  • Phone: 619-629-8696
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: GREGORY SIAUMAU
Title or Position: MANAGER
Credential: PMHNP
Phone: 619-629-8696