NPI: 1720210289 · LOS ANGELES, CA 90033 · Neurological Surgery Physician · NPI assigned 08/18/2009
| Authorized Official | GRAVELY, LANCE (PRESIDENT/CEO) |
| NPI Enumeration Date | 08/18/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99205 | Prolong outpt/office vis | 12 | 12 | $2K |