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Ultimate Male

NPI 1720878382ActiveOrganization· General Practice· San Gabriel, CA

General Practice in San Gabriel, California, registered in NPPES in May 2025. The authorized official on file is Yuan Wang, Manager.

Overview

NPI1720878382
StatusActive
Entity typeOrganization
NPI issuedMay 7, 2025
Last updated in NPPESMay 8, 2025
Certified by providerMay 8, 2025

Specialties and licenses

TaxonomyCodeLicenseState
General Practice Primary208D00000X——
Clinic/Center, Rehabilitation261QR0400X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other General Practice providers in San Gabriel

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