Southern California Primary Care Canyon Lake Urgent & Family Care
Non-pharmacy Dispensing Site
31581 Canyon Estates Dr, Lake Elsinore
California, 92532-0424
951-244-3500 Southern California Primary Care Canyon Lake Urgent & Family Care is a Non-pharmacy Dispensing Site in Lake Elsinore, California. This organization is also known as sub part of Medvantx, Inc.. It is located at 31581 Canyon Estates Dr, Lake Elsinore and it's customer support contact number is 951-244-3500. The authorized person of Southern California Primary Care Canyon Lake Urgent & Family Care is Kenny Heine who is Vp Ops of the pharmacy and his contact number is 858-964-1506. Active license number of Southern California Primary Care Canyon Lake Urgent & Family Care is A48943 for Non-pharmacy Dispensing Site in California.
Southern California Primary Care Canyon Lake Urgent & Family Care is 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.)
Pharmacy Details:
Southern California Primary Care Canyon Lake Urgent & Family Care type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Southern California Primary Care Canyon Lake Urgent & Family Care |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 31581 Canyon Estates Dr, Lake Elsinore,
California, 92532-0424 |
| Phone: | 951-244-3500 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Kenny Heine |
| Position: | Vp Ops |
| Contact Number: | 858-964-1506 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1710242474 |
| Parent Organization: | Medvantx, Inc. |
| NPI Enumeration Date: | 09 Jul, 2012 |
| NPI Last Update On: | 25 Oct, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southern California Primary Care Canyon Lake Urgent & Family Care are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | A48943 | California | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5626 Oberlin Dr, Suite 110
San Diego, California |
| Zip: | 92121-1705 |
| Phone Number: | -- |
Patients can reach Southern California Primary Care Canyon Lake Urgent & Family Care at
31581 Canyon Estates Dr, Lake Elsinore, California or can
call on customer care at 951-244-3500.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.