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INCONTINENCE AND PELVIC SUPPORT INSTITUTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA ANDRADE (PRACTICE MANAGER)
(949) 365-8845
Entity
Organization

Contact information

Practice address
26800 CROWN VALLEY PKWY STE 475, MISSION VIEJO, CA 92691-8027
(888) 827-3286
Mailing address
28432 VIA MAMBRINO, SAN JUAN CAPISTRANO, CA 92675-3346
(949) 584-7505

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
11/01/2006
Last updated
04/01/2025
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