NPI: 1366034456 · LA HABRA, CA 90631 · Surgery Physician · NPI assigned 02/09/2021
| Authorized Official | PATACXIL, WYZSCX (PRESIDENT) |
| NPI Enumeration Date | 02/09/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 16 | $158.60 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99350 | Prolong home eval add 15m | 16 | 13 | $158.60 |