NPI: 1629212840 · BEAUMONT, CA 92223 · Radiology Clinic/Center · NPI assigned 05/01/2009
| Authorized Official | FONTOURA, DANIEL (CHAIRMAN) |
| NPI Enumeration Date | 05/01/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 32 | $54.96 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 32 | 15 | $54.96 |