AVALON SURGERY AND ROBOTIC CENTER, LLC
NPI: 1194185637
· GLENDALE, CA 91203
· Ambulatory Surgical Clinic/Center
· NPI assigned 02/25/2016
$741.93
Total Medicaid Paid
Provider Details
| Authorized Official | MORADI, SILVA (CEO) |
| NPI Enumeration Date | 02/25/2016 |
Related Entities
Other providers sharing the same authorized official: MORADI, SILVA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
23 |
$741.93 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
23 |
21 |
$741.93 |