# CROWN MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992022123
- **Authorized official:** DR. JOAN HAZEL CALINISAN MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (951) 677-0215

## Contact information

- **Practice address:** 25470 MEDICAL CENTER DR, SUITE 205, MURRIETA, CA 92562-4900
- **Practice address phone:** (951) 677-0215
- **Mailing address:** 24013 KALEB DR, CORONA, CA 92883-9387
- **Mailing address phone:** (951) 603-3088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 385348 | CA | Yes |

## Other

- **Enumeration date:** 04/28/2010
- **Last updated:** 04/28/2010