Excel Multi-Specialty Medical Group

Primary specialty

SpecialistTaxonomy code 174400000X

License

G76551 Issued in CA

Legal business name

EXCEL MULTI-SPECIALTY MEDICAL GROUP

Practice address

1661 Hanover Rd
103A
City of Industry, CA 91748-1796

Phone

(626) 581-8330

Fax

(626) 581-8411

NPI assigned

Sep 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. James H Song, M.D.NPI 1679662217

Title

President

Phone

(626) 581-8330

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James H Song, M.D.

  • Specialist
  • City of Industry, CA
  • NPI 1679662217
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1356536866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 HANOVER RD",
            "address_2": "103A",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481796",
            "telephone_number": "626-581-8330",
            "fax_number": "626-581-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 HANOVER RD",
            "address_2": "103A",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481796",
            "telephone_number": "626-581-8330",
            "fax_number": "626-581-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL MULTI-SPECIALTY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-581-8330",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G76551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G756610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mario Esquivel, MT
• Ruben Esquivel
• Sarah Frances Estrada
• Katherine Eustaquio, PTA
• Sam Evans
• Eycc Services Inc
• Brianna Fabila
• Paraluman Valmonte Faeldan, DDS
• Family Dentistry
• Amy Fang, DC

• Specialist in City of Industry, CA
• Providers in City of Industry, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.