CENTRELAKE MEDICAL GROUP INC
NPI: 1760721112
· WEST COVINA, CA 91790
· Radiology Clinic/Center
· NPI assigned 02/05/2013
$54.69
Total Medicaid Paid
Provider Details
| Authorized Official | LAPSI, AMAR (CHIEF OPERATING OFFICER) |
| NPI Enumeration Date | 02/05/2013 |
Related Entities
Other providers sharing the same authorized official: LAPSI, AMAR
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
12 |
$54.69 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$54.69 |