# EXCELLENT HEALTHCARE MANAGEMENT INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689026700
- **Authorized official:** DR. TIN Y. YUNG M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (626) 307-0550

## Contact information

- **Practice address:** 1788 S SAN GABRIEL BLVD STE 201, SAN GABRIEL, CA 91776-3978
- **Practice address phone:** (626) 307-0550
- **Practice address fax:** (626) 307-1892
- **Mailing address:** 1788 S SAN GABRIEL BLVD STE 201, SAN GABRIEL, CA 91776-3978
- **Mailing address phone:** (626) 307-0550
- **Mailing address fax:** (626) 307-1892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | G61730 | CA | Yes |

## Other

- **Enumeration date:** 07/13/2016
- **Last updated:** 07/13/2016