NPI: 1437142981 · LOS ANGELES, CA 90015 · Pharmacy · NPI assigned 08/30/2005
| Authorized Official | CHUNG, SOON (OWNER) |
| NPI Enumeration Date | 08/30/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 25 | $969.00 |
| 2021 | 96 | $4K |
| 2022 | 12 | $465.12 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4541 | Incontinence product, disposable underpad, large, each | 133 | 133 | $5K |