Organization
EXCELL DRIP BAR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYNAL PONDER (OFFICE ADMINISTRATOR)
(951) 315-1265
Entity
Organization
Contact information
Practice address
14023 PARAMOUNT BLVD, PARAMOUNT, CA 90723-2605
(562) 988-3370
Mailing address
14023 PARAMOUNT BLVD, PARAMOUNT, CA 90723-2605
(562) 988-3370
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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