Organization
EXCEL MULTI-SPECIALTY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES H SONG M.D. (PRESIDENT)
(626) 581-8330
Entity
Organization
Contact information
Practice address
1661 HANOVER RD, 103A, CITY OF INDUSTRY, CA 91748-1796
(626) 581-8330
(626) 581-8411
Mailing address
1661 HANOVER RD, 103A, CITY OF INDUSTRY, CA 91748-1796
(626) 581-8330
(626) 581-8411
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G76551
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G756610
—
CA
Enumeration date
09/07/2007
Last updated
12/14/2007
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