Provider Demographics
NPI:1033391024
Name:EXCELLENCE IN HEALTHCARE
Entity Type:Organization
Organization Name:EXCELLENCE IN HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GURPREET
Authorized Official - Middle Name:K
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:DO, PHD
Authorized Official - Phone:530-243-1414
Mailing Address - Street 1:2110 RAILROAD AVE.
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-2504
Mailing Address - Country:US
Mailing Address - Phone:530-243-1414
Mailing Address - Fax:530-243-0493
Practice Address - Street 1:2110 RAILROAD AVE.
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-2504
Practice Address - Country:US
Practice Address - Phone:530-243-1414
Practice Address - Fax:530-243-0493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-30
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A7738207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00AX77380Medicaid
CA00AX77380Medicaid