NPI: 1104145861 · LA GRANGE, CA 95329 · General Practice Physician · NPI assigned 05/20/2010
| Authorized Official | DE LA TORRE, SANDRA (OFFICE MANAGER) |
| NPI Enumeration Date | 05/20/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 657 | $32K |
| 2019 | 434 | $22K |
| 2020 | 493 | $25K |
| 2021 | 486 | $24K |
| 2022 | 354 | $18K |
| 2023 | 328 | $18K |
| 2024 | 182 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 2,934 | 2,622 | $149K |