NPI: 1124439419 · RANCHO CORDOVA, CA 95742 · Ambulatory Surgical Clinic/Center · NPI assigned 05/08/2014
| Authorized Official | VELASTEGUI, ROMEL (MANAGER/MEMBER) |
| NPI Enumeration Date | 05/08/2014 |
Other providers sharing the same authorized official: VELASTEGUI, ROMEL
| Provider | City | State | Total Paid |
|---|---|---|---|
| REV VASCULAR INC | CARMICHAEL | CA | $50K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 78 | $15K |
| 2019 | 14 | $8K |