ANGELES DEL SOL ADHC, LLC
NPI: 1548048556
· DIAMOND BAR, CA 91765
· Community Health Clinic/Center
· NPI assigned 09/20/2023
$928K
Total Medicaid Paid
Provider Details
| Authorized Official | LIU, BOYU (MANAGER) |
| Parent Organization | ANGELES DEL SOL ADHC, LLC |
| NPI Enumeration Date | 09/20/2023 |
Related Entities
Other providers sharing the same authorized official: LIU, BOYU
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
7,398 |
$928K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
4,743 |
864 |
$634K |
| G9012 |
Other specified case management service not elsewhere classified |
2,655 |
1,005 |
$294K |