Canyon Springs Medical Group, Inc. in Moreno Valley - Family Medicine
Canyon Springs Medical Group, Inc. - NPI 1073669404
Canyon Springs Medical Group, Inc. is a Family Medicine in Moreno Valley, California. Canyon Springs Medical Group, Inc. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Canyon Springs Medical Group, Inc. is 1073669404. The last update date is 2018-04-23.
Canyon Springs Medical Group, Inc.'s current location address is 26520 Cactus Ave, Moreno Valley, California. You can contact this provider via phone number 9514865610 and fax number 9514865620. The mailing address for Canyon Springs Medical Group, Inc. is 26520 Cactus Ave, Moreno Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Canyon Springs Medical Group, Inc. |
|---|---|
| Address | 26520 Cactus Ave, Moreno Valley, California |
| Phone Number | 9514865610 |
| Fax Number | 9514865620 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Jukaku M. Faheem |
| Credentials | M.D. |
| Telephone Number | 9514865610 |
NPI Number Detail
| NPI Number | 1073669404 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2018-04-23 |
Provider Mailing Address Detail
| Address | 26520 Cactus Ave |
|---|---|
| City | Moreno Valley |
| State | California (CA) |
| Post Code | 925553927 |
| Phone Number | 9514865610 |
| Fax Number | 9514865620 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0088740 | CA | -- |
Post Comment/ Review Below
What is the Canyon Springs Medical Group, Inc.'s 1073669404?
The Canyon Springs Medical Group, Inc.'s NPI (National Provider Identifier) Number is 1073669404. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Canyon Springs Medical Group, Inc.'s physical address?
The Canyon Springs Medical Group, Inc. is physically located at 26520 Cactus Ave, in the city of Moreno Valley, CA, with the postal code 925553927.
What is the Canyon Springs Medical Group, Inc.'s specialty and taxonomy code?
The Canyon Springs Medical Group, Inc.'s specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Canyon Springs Medical Group, Inc. receive the assignment of its 1073669404 from the Centers for Medicare & Medicaid Services?
The Canyon Springs Medical Group, Inc. was issued its 1073669404 by the Centers for Medicare & Medicaid Services on 2007-01-26.
As of what date was the information regarding Canyon Springs Medical Group, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Canyon Springs Medical Group, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-04-23.