Organization
ICOBO,INC
Active
Other names
EXCELCARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DORCAS DORRIS ANDERSON MD (PRESIDENT)
(909) 754-0377
Entity
Organization
Contact information
Practice address
11400 POPLAR ST, LOMA LINDA, CA 92354-3521
(909) 754-0377
(909) 894-4294
Mailing address
11400 POPLAR ST, LOMA LINDA, CA 92354-3521
(909) 754-0377
(909) 894-4294
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
12/25/2023
Last updated
12/25/2023
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