Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeshore Medical Clinic Inc

Organization Internal Medicine Physician · NPI 1063740520

Lakeshore Medical Clinic Inc is an Internal Medicine Physician in Lake Elsinore, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
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

16770 Lakeshore Dr Ste G
Lake Elsinore, CA 92530-4953
Phone: (951) 674-6876
Fax: (951) 674-6876
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A50401 (CA)

Record details

NPI number1063740520
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohmedali Patel — Owner · (951) 674-6876
NPI enumeratedNovember 20, 2009
Last updated in NPPESNovember 20, 2009
Mailing address16770 Lakeshore Dr Ste G, Lake Elsinore, CA 92530-4953

Other providers in Lake Elsinore