NPI: 1235671660 · SAN DIEGO, CA 92122 · Internal Medicine Physician · NPI assigned 11/16/2016
| Authorized Official | LOGSDON, TANILLE (SPECIALIST NETWORK MANAGER) |
| NPI Enumeration Date | 11/16/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 137 | $16K |
| 2021 | 135 | $15K |
| 2022 | 169 | $19K |
| 2023 | 209 | $23K |
| 2024 | 104 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99451 | 754 | 673 | $86K |