| Southern California Primary Care Medical Group, Inc | |
|
31581 Canyon Estates Dr Lake Elsinore CA 92532-0424 | |
| (951) 244-3500 | |
| (951) 244-3535 |
| Full Name | Southern California Primary Care Medical Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 31581 Canyon Estates Dr, Lake Elsinore, California |
| Authorized Official Name and Position | Mohammad R Danesh (DIRECTOR) |
| Authorized Official Contact | 9512443500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern California Primary Care Medical Group, Inc 31581 Canyon Estates Dr Lake Elsinore CA 92532-0424 Ph: (951) 244-3500 | Southern California Primary Care Medical Group, Inc 31581 Canyon Estates Dr Lake Elsinore CA 92532-0424 Ph: (951) 244-3500 |
| NPI Number | 1376632281 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 09/02/2025 |
| Medicare PECOS PAC ID | 5698701472 |
|---|---|
| Medicare Enrollment ID | O20050713000250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376632281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mohammad Reza Danesh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811999261 PECOS PAC ID: 1456437201 Enrollment ID: I20080319000662 |
Family Health Care Of Southern California Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31571 Canyon Estates Dr, Suite 225, Lake Elsinore, CA 92532 Phone: 951-674-7811 | |
Dr. Javier Rios, A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 N Main St, Lake Elsinore, CA 92530 Phone: 855-505-7467 Fax: 888-975-8926 | |
J M Asprec Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 31571 Canyon Estates Dr, Ste 132, Lake Elsinore, CA 92532 Phone: 951-674-7811 Fax: 951-674-7812 | |
County Of Riverside-community Health Agency Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2499 E Lakeshore Dr, Lake Elsinore, CA 92530 Phone: 951-674-3250 Fax: 951-245-4502 | |
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Hofmeister Medical, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530 Phone: 951-245-2333 | |
Lake Elsinore Urgent Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 433 Diamond Drive, Suite E, Lake Elsinore, CA 92530 Phone: 951-942-0139 |