NPI: 1649680810 · CARSON, CA 90745 · Adult Care Home Facility · NPI assigned 04/28/2014
| Authorized Official | PONDER, FELICIA (OFFICE ADMINISTRATOR) |
| NPI Enumeration Date | 04/28/2014 |
Other providers sharing the same authorized official: PONDER, FELICIA
| Provider | City | State | Total Paid |
|---|---|---|---|
| EXCELL INTEGRATED MEDICAL GROUP INC | PARAMOUNT | CA | $299K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 478 | $60K |