Canyon Springs Medical Group, Inc.
NPI #1073669404 in Moreno Valley, California
Provider Information
- NPI Number
- 1073669404
- Entity Type
- Organization
- Organization Name
- Canyon Springs Medical Group, Inc.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 26, 2007
- Last Updated
- Apr 23, 2018
Practice Location
- Address
- 26520 CACTUS AVE RM B2018
- City
- Moreno Valley
- State
- California
- ZIP Code
- 92555-3927
- Phone
- (951) 486-5610
Authorized Official
- Name
- FAHEEM M. JUKAKU, M.D.
- Title
- PRESIDENT
- Phone
- (951) 486-5610
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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