NPI: 1669988655 · PLACENTIA, CA 92870 · Primary Podiatric Medicine Podiatrist · NPI assigned 12/28/2017
| Authorized Official | LORDS, ROBERT (PRESIDENT) |
| NPI Enumeration Date | 12/28/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 28 | $138.16 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 11721 | 28 | 28 | $138.16 |