NPI: 1629362959 · LAS VEGAS, NV 89108 · Primary Care Clinic/Center · NPI assigned 06/03/2011
| Authorized Official | ELLYIN, MADLIN (OFFICE MANAGER) |
| NPI Enumeration Date | 06/03/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 28 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99215 | Prolong outpt/office vis | 28 | 27 | $3K |