Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Southern California Primary Care Medical Group, Inc

Organization Family Medicine Physician · NPI 1376632281

Southern California Primary Care Medical Group, Inc provides Family Medicine Physician services in Lake Elsinore, California. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

31581 Canyon Estates Dr
Lake Elsinore, CA 92532-0424
Phone: (951) 244-3500
Fax: (951) 244-3535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1376632281
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohammad Danesh — Director · (951) 244-3500
Other names Canyon Lake Urgent & Family Care
NPI enumeratedOctober 11, 2006
Last updated in NPPESSeptember 2, 2025
Certification dateMay 14, 2025
Mailing address31581 Canyon Estates Dr, Lake Elsinore, CA 92532-0424

Other providers in Lake Elsinore