NPI: 1144303389 · LODI, CA 95242 · Anesthesiology Physician · NPI assigned 10/23/2006
| Authorized Official | FORMAN, RICHARD (PRESIDENT) |
| NPI Enumeration Date | 10/23/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 217 | $19K |
| 2019 | 67 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00142 | 284 | 231 | $24K |