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

Southern California Primary Care Canyon Lake Urgent & Family Care

Organization Non-Pharmacy Dispensing Site · NPI 1710242474

Southern California Primary Care Canyon Lake Urgent & Family Care is a Non-Pharmacy Dispensing Site in Lake Elsinore, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

31581 Canyon Estates Dr
Lake Elsinore, CA 92532-0424
Phone: (951) 244-3500
Show map & directions

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

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence A48943 (CA)

Record details

NPI number1710242474
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Ops · (858) 964-1506
Other names Danesh Medical Group
NPI enumeratedJuly 9, 2012
Last updated in NPPESOctober 25, 2012
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705

Other providers in Lake Elsinore