Provider Demographics
NPI:1609681279
Name:XCEL CARE MEDICAL GROUP CORP
Entity type:Organization
Organization Name:XCEL CARE MEDICAL GROUP CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLAIMS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DON
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:MSBA
Authorized Official - Phone:626-536-7534
Mailing Address - Street 1:16404 COLIMA RD FL 1
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-5502
Mailing Address - Country:US
Mailing Address - Phone:626-581-7603
Mailing Address - Fax:
Practice Address - Street 1:16404 COLIMA RD FL 1
Practice Address - Street 2:
Practice Address - City:HACIENDA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91745-5502
Practice Address - Country:US
Practice Address - Phone:626-581-7603
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1811665854OtherNPPES
CA1679662217OtherNPPES
CA1720400971OtherNPPES