NPI: 1497447494 · GARDEN GROVE, CA 92844 · PACE Provider Organization · NPI assigned 05/26/2023
| Authorized Official | LUONG, TUAN (PRESIDENT) |
| NPI Enumeration Date | 05/26/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 48 | $240.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0350 | 48 | 12 | $240.00 |