NPI: 1417170218 · POMONA, CA 91767 · Durable Medical Equipment & Medical Supplies · NPI assigned 04/10/2007
| Authorized Official | MANALO, ROMEO (OWNER/CEO) |
| NPI Enumeration Date | 04/10/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 174 | $3K |
| 2020 | 309 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E2321 | Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware | 235 | 233 | $7K |
| E2377 | Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue | 248 | 246 | $3K |