NPI: 1669730339 · DANVILLE, CA 94526 · Clinical Pathology Physician · NPI assigned 05/01/2012
| Authorized Official | SHELBY, SALIM (PRESIDENT) |
| NPI Enumeration Date | 05/01/2012 |
Other providers sharing the same authorized official: SHELBY, SALIM
| Provider | City | State | Total Paid |
|---|---|---|---|
| EXECUTIVE SURGERY CENTER, INC. | DANVILLE | CA | $286K |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $628.14 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00812 | 12 | 12 | $628.14 |