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
—
—
Other
Enumeration date
11/28/2025
Last updated
11/28/2025
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