Provider Demographics
NPI:1346074655
Name:EXCEL DME, PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:EXCEL DME, PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:FRAIPONT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-755-1322
Mailing Address - Street 1:800 S RAYMOND AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-3229
Mailing Address - Country:US
Mailing Address - Phone:626-755-1322
Mailing Address - Fax:
Practice Address - Street 1:800 S RAYMOND AVE FL 2
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3229
Practice Address - Country:US
Practice Address - Phone:626-755-1322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies