S.A.M MEDICINE INC.
NPI: 1447351499
· LOS ANGELES, CA 90024
· Pharmacist
· NPI assigned 09/25/2006
$78.40
Total Medicaid Paid
Provider Details
| Authorized Official | RAVAEI, MEHRAN (PRESIDENT) |
| NPI Enumeration Date | 09/25/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
30 |
$78.40 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90480 |
|
17 |
17 |
$78.40 |
| 91322 |
|
13 |
13 |
$0.00 |