NPI: 1467678391 · SHERMAN OAKS, CA 91403 · Primary Care Nurse Practitioner · NPI assigned 04/18/2007
| Authorized Official | STACY, TIM (OWNER) |
| NPI Enumeration Date | 04/18/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 255 | $29K |
| 2024 | 324 | $26K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 36573 | 579 | 492 | $56K |