Look up the most recent NPI and PECOS records

Excellence Medical Group Inc

Family Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Excellence Medical Group Inc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1093074221
Provider Type
Organization
Full Name
Excellence Medical Group Inc

Subpart
No
Enumeration Date
5/8/2012
Last Updated
3/3/2022

Contact Information

Practice Location

755 N. Irwin St, Hanford, CA 93230-3813

(559) 585-1200

(844) 570-7675

Mailing Location

755 N. Irwin St, Hanford, CA 93230-3813

(559) 585-1200

(844) 570-7675

Authorized Official

Daulton, Ronnette Denise (Owner)

(559) 585-1200

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 261QP2300X	Description Clinic/Center Ambulatory Health Care Facilities	License A34991 California

Excellence Medical Group Inc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

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