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Organization
EXCEL IMAGING CENTER WEST COVINA INC.
Active
Organization
EXCEL IMAGING CENTER WEST COVINA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNY PHAN (PRESIDENT)
(714) 583-8126
Entity
Organization
Contact information
Practice address
536 S GLENDORA AVE, WEST COVINA, CA 91790-3022
(714) 583-8126
(714) 583-8148
Mailing address
13071 BROOKHURST ST STE 100, GARDEN GROVE, CA 92843-5514
(714) 583-8126
(714) 583-8148
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
NULL
2085B0100X
Body Imaging Physician
Primary
—
—
Other
Enumeration date
11/28/2025
Last updated
11/28/2025
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