Provider Demographics
NPI:1174003594
Name:XELNT HEALTHCARE INC.
Entity Type:Organization
Organization Name:XELNT HEALTHCARE INC.
Other - Org Name:XELNT HEALTHCARE INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SONNY
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-203-9763
Mailing Address - Street 1:501 E HARDY ST STE 425
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-4067
Mailing Address - Country:US
Mailing Address - Phone:909-203-9763
Mailing Address - Fax:
Practice Address - Street 1:501 E HARDY ST STE 425
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301
Practice Address - Country:US
Practice Address - Phone:909-203-9763
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-15
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QC1800X, 261QG0250X, 261QI0500X, 261QP2000X, 261QP2300X, 261QP3300X, 261QU0200X, 291U00000X, 3336C0002X
CA261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
No261QG0250XAmbulatory Health Care FacilitiesClinic/CenterGenetics
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No291U00000XLaboratoriesClinical Medical Laboratory
No3336C0002XSuppliersPharmacyClinic Pharmacy