Healthcare Provider Details

I. General information

NPI: 1609681279
Provider Name (Legal Business Name): XCEL CARE MEDICAL GROUP CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2025
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16404 COLIMA RD FL 1
HACIENDA HEIGHTS CA
91745-5502
US

IV. Provider business mailing address

16404 COLIMA RD FL 1
HACIENDA HEIGHTS CA
91745-5502
US

V. Phone/Fax

Practice location:
  • Phone: 626-581-7603
  • Fax:
Mailing address:
  • Phone: 626-581-7603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES DON WANG
Title or Position: CLAIMS MANAGER
Credential: MSBA
Phone: 626-536-7534