NPI: 1225311806 · SAN PEDRO, CA 90732 · Student in an Organized Health Care Education/Training Program · NPI assigned 09/21/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 15 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 15 | 15 | $2K |