NPI: 1114202892 · LOS ANGELES, CA 90017 · Ambulatory Surgical Clinic/Center · NPI assigned 10/13/2011
Authorized official KELLY, MARK controls 20+ related entities in our dataset. Read more
| Authorized Official | KELLY, MARK (PRESIDENT, BOARD OF MANAGERS) |
| NPI Enumeration Date | 10/13/2011 |
Other providers sharing the same authorized official: KELLY, MARK
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 495 | $237K |
| 2019 | 277 | $107K |
| 2020 | 57 | $27K |
| 2021 | 13 | $5K |
| 2022 | 63 | $17K |
| 2023 | 41 | $16K |
| 2024 | 99 | $30K |