Organization · Type 2 NPI
Southern California Primary Care Canyon Lake Urgent & Family Care
Non-Pharmacy Dispensing Site · Lake Elsinore, CA
NPI number
1710242474
Active
Practice location
31581 Canyon Estates Dr
Lake Elsinore, CA 92532-0424
Mailing address
5626 Oberlin Dr, Suite 110
San Diego, CA 92121-1705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | A48943 (CA) |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
6 other providers at this address
- Southern California Primary Care Medical Group, IncFamily Medicine Physician Lake Elsinore, CA NPI 1376632281
- Kun SavillePhysician Assistant Lake Elsinore, CA NPI 1518377894
- Mohammad Reza Danesh, MDFamily Medicine Physician Lake Elsinore, CA NPI 1811999261
- Navdeep Kaur Gill, PA-CMedical Physician Assistant Lake Elsinore, CA NPI 1790253672
- Ryan Jacobs, PA-CMedical Physician Assistant Lake Elsinore, CA NPI 1023483591
- Vincent Lieras, PAPhysician Assistant Lake Elsinore, CA NPI 1477074094
Other non-pharmacy dispensing site providers in Lake Elsinore
About NPI 1710242474
Southern California Primary Care Canyon Lake Urgent & Family Care's National Provider Identifier is 1710242474, issued on Jul 9, 2012. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Lake Elsinore, CA. The record was last updated on Oct 25, 2012.