EXCELLENCE MEDICAL GROUP INC NPI 1093074221

NPI Information

  • NPI: 1093074221
  • Provider Name: EXCELLENCE MEDICAL GROUP INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 05D2043155
  • Address: 755 N. IRWIN ST
    HANFORD, CA
    ZIP 93230
  • Phone: (559) 585-1200

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NPI Details

EXCELLENCE MEDICAL GROUP INC is a family medicine in Hanford, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. EXCELLENCE MEDICAL GROUP INC NPI is 1093074221. The provider is registered as an organization entity type.

The provider's business location address is:

755 N. IRWIN ST
HANFORD, CA
ZIP 93230-813
Phone: (559) 585-1200
Fax: (844) 570-7675

The provider's authorized official is Ronnette Denise Daulton .
The authorized official title is Owner and has the following contact phone number (559) 585-1200.

The CLIA number assigned to this NPI record is 05D2043155 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/8/2012 and was last updated on 3/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareA34991CALIFORNIANo
2207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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