Canyon Springs Medical Group, Inc.

LBN: Canyon Springs Medical Group, Inc.
Canyon Springs Medical Group, Inc. is an health care organization with primary practice located at 26520 Cactus Ave Rm B2018 , Moreno Valley CA 92555-3927. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Canyon Springs Medical Group, Inc. can be contacted via phone (951) 486-5610, or through Jukaku, Faheem M. via phone (951) 486-5610.

Contact Information

Primary practice address
26520 Cactus Ave Rm B2018 Moreno Valley CA 92555-3927
Phone: (951) 486-5610
Fax: (951) 486-5620
Website:
Map and Directions
Authorized official contact:
Name: Jukaku, Faheem M. Doctor of Medicine (MD)
Phone: (951) 486-5610

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1073669404
LBN Legal business name Canyon Springs Medical Group, Inc.
DBA Doing business as
Authorized official Jukaku, Faheem M. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2007
Last updated Apr 23rd, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073669404 NPPES
California MEDICAID GR0088740

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