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Organization
SOUTHERN CALIFORNIA PRIMARY CARE MEDICAL GROUP, INC
Active
Organization
SOUTHERN CALIFORNIA PRIMARY CARE MEDICAL GROUP, INC
Active
Other names
Canyon Lake Urgent & Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD R DANESH M.D. (DIRECTOR)
(951) 244-3500
Entity
Organization
Contact information
Practice address
31581 CANYON ESTATES DR, LAKE ELSINORE, CA 92532-0424
(951) 244-3500
(951) 244-3535
Mailing address
31581 CANYON ESTATES DR, LAKE ELSINORE, CA 92532-0424
(951) 244-3500
(951) 244-3535
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/11/2006
Last updated
09/02/2025
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