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

Southern California Primary Care Medical Group, Inc

Organization Family Medicine Physician · NPI 1376632281

Southern California Primary Care Medical Group, Inc is a Family Medicine Physician 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
Show map & directions

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