MEDICARE: MARCEL WINCHESTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246Z00000X	Other Specialist/Technologist
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1982540860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCEL WINCHESTER

Provider Business Mailing Address
First Line	:	17923 MACKESON CT
Second Line	:
City	:	CARSON
State	:	CA
Zip	:	90746-1629
Country	:	US
Telephone Number	:	323-691-9908
Fax Number	:

Provider Business Practice Location Address
First Line	:	17923 MACKESON CT
Second Line	:
City	:	CARSON
State	:	CA
Zip	:	90746-1629
Country	:	US
Telephone Number	:	323-691-9908
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2026
Last Update Date	:	04/24/2026

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Directions to “ MARCEL WINCHESTER ” Practice Location

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