Healthcare Provider Details
I. General information
NPI: 1841133196
Provider Name (Legal Business Name): CONTINUUM HEALTH CONNECT PRIMARY CARE & NURSING SERVICES, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/13/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1695 KIPPY DR
COLTON CA
92324-1431
US
IV. Provider business mailing address
1695 KIPPY DR
COLTON CA
92324-1431
US
V. Phone/Fax
- Phone: 909-645-5626
- Fax:
- Phone: 909-645-5626
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARCO
FRANCO
AYON
Title or Position: PRESIDENT/CEO
Credential: NP
Phone: 909-645-5626