NPI: 1295362234 · GLENDORA, CA 91741 · Dermatology Physician · NPI assigned 03/26/2020
| Authorized Official | ISAGUIRRE, MODESTY (OWNER) |
| NPI Enumeration Date | 03/26/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 310 | $127K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 17380 | 310 | 99 | $127K |