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General NPI Number Information
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NPI Number | 1811843501
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Entity Type | Organization
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Legal Business Name | CONTINUUM HEALTH MEDICAL GROUP LLC
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Dates
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Enumeration Date | 03/06/2026
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 3090 BRISTOL ST FL 4
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City | COSTA MESA
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State | CA
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Zip | 92626-3079
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Country | US
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Telephone | 424-426-2358
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Fax |
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Provider Business Mailing Address
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Address Line | 3090 BRISTOL ST 4TH FLOOR STE 32
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City | COSTA MESA
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State | CA
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Zip | 92626
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Country | US
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Telephone | 424-426-2358
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | PAUL FORTALEZA
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Credential |
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Telephone | 424-426-2358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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