| Excel Physicians Medical Corporation | |
|
29809 Santa Margarita Pkwy Suite#300 Rancho Santa Margarita CA 92688-3613 | |
| (949) 709-5100 | |
| (949) 709-5151 |
| Full Name | Excel Physicians Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 29809 Santa Margarita Pkwy, Rancho Santa Margarita, California |
| Authorized Official Name and Position | Peter S Desilva (PRESIDENT) |
| Authorized Official Contact | 9497095100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Excel Physicians Medical Corporation 29809 Santa Margarita Pkwy Suite#300 Rancho Santa Margarita CA 92688-3613 Ph: (949) 709-5100 | Excel Physicians Medical Corporation 29809 Santa Margarita Pkwy Suite#300 Rancho Santa Margarita CA 92688-3613 Ph: (949) 709-5100 |
| NPI Number | 1245335025 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6507757986 |
|---|---|
| Medicare Enrollment ID | O20040324000210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245335025 | NPI | - | NPPES |
| ZZZ05895Z | Other | CA | BLUE SHIELD PPO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Natalia N Bilan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376644377 PECOS PAC ID: 5193908440 Enrollment ID: I20110323000636 |
| Provider Name | Peter S Desilva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316045636 PECOS PAC ID: 7315838703 Enrollment ID: I20110330000972 |
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