Organization
CUSM HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL LYONS MD (CEO/PRESIDENT)
(909) 566-2669
Entity
Organization
Contact information
Practice address
1501 VIOLET ST, COLTON, CA 92324-1603
(909) 966-4910
(909) 966-4910
Mailing address
1501 VIOLET ST, COLTON, CA 92324-1603
(909) 966-4910
(909) 966-4910
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207ZC0006X
Clinical Pathology Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
01/10/2020
Last updated
12/07/2020
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