COUNTY OF LOS ANGELES
NPI: 1619989589
· LANCASTER, CA 93535
· Clinic/Center
· NPI assigned 08/12/2006
$61.92
Total Medicaid Paid
Provider Details
| Authorized Official | BROOKS, BERYL (CLINIC ADMINISTRATOR) |
| Parent Organization | COUNTY OF LOS ANGELES |
| NPI Enumeration Date | 08/12/2006 |
Related Entities
Other providers sharing the same authorized official: BROOKS, BERYL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
114 |
$61.92 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
82 |
80 |
$61.92 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
32 |
32 |
$0.00 |