SOUTHERN CALIFORNIA PRIMARY CARE CANYON LAKE URGENT & FAMILY CARE is a non pharmacy dispensing site in Lake Elsinore, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) SOUTHERN CALIFORNIA PRIMARY CARE CANYON LAKE URGENT & FAMILY CARE NPI is 1710242474. The provider is registered as an organization entity type.
The provider Is Doing Business As Danesh Medical Group.
The provider's business location address is:
31581 CANYON ESTATES DR
LAKE ELSINORE, CA
ZIP 92532-424
Phone: (951) 244-3500
The provider's authorized official is Kenny Heine .
The authorized official title is Vp Ops and has the following contact phone number (858) 964-1506.
The CLIA number assigned to this NPI record is 05D0574214 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/9/2012 and was last updated on 10/25/2012.