Organization
CONTINENCE CENTER MEDICAL GROUP, INC.
Active
Other names
Southern California Continence Center, A Medical Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
JILL BYERS (OWNER)
(949) 515-3777
Entity
Organization
Contact information
Practice address
320 SUPERIOR AVE, #110, NEWPORT BEACH, CA 92663-2716
(949) 480-9659
Mailing address
320 SUPERIOR AVE STE 110, NEWPORT BEACH, CA 92663-2740
(949) 515-3777
(949) 480-3404
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G74895
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295748861
NPI
CA
Enumeration date
08/14/2006
Last updated
02/11/2021
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