# ICOBO,INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EXCELCARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366211955
- **Authorized official:** DR. DORCAS DORRIS ANDERSON MD (PRESIDENT)
- **Authorized official phone:** (909) 754-0377

## Contact information

- **Practice address:** 11400 POPLAR ST, LOMA LINDA, CA 92354-3521
- **Practice address phone:** (909) 754-0377
- **Practice address fax:** (909) 894-4294
- **Mailing address:** 11400 POPLAR ST, LOMA LINDA, CA 92354-3521
- **Mailing address phone:** (909) 754-0377
- **Mailing address fax:** (909) 894-4294

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 177F00000X | Lodging Provider | — | NULL | Yes |

## Other

- **Enumeration date:** 12/25/2023
- **Last updated:** 12/25/2023