Excel Spine Center A California Medical Corporation
NPI 1962018044ActiveOrganization· Orthopaedic Surgery, Orthopaedic Surgery of the Spine· San Diego, CA
Orthopaedic Surgery, Orthopaedic Surgery of the Spine in San Diego, California, registered in NPPES in September 2020. The authorized official on file is Choll Wan Kim, MD, PHD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1962018044 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 23, 2020 |
| Last updated in NPPES | Dec 12, 2022 |
| Certified by provider | Dec 12, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Orthopaedic Surgery of the Spine Primary | 207XS0117X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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