INCONTINENCE & PELVIC SUPPORT INSTITUTE is a specialist in Mission Viejo, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. INCONTINENCE & PELVIC SUPPORT INSTITUTE NPI is 1619054962. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
26732 CROWN VALLEY PKWY
SUITE 327
MISSION VIEJO, CA
ZIP 92691-306
Phone: (949) 364-4400
Fax: (949) 364-2829
The provider's authorized official is Theodore Val Benderev .
The authorized official title is Medical Director and has the following contact phone number (949) 364-4400.
The CLIA number assigned to this NPI record is 05D0943425 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 11/1/2006 and was last updated on 8/22/2020.