NPI: 1760863443 · POWAY, CA 92064 · Medical Physician Assistant · NPI assigned 06/17/2015
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 18 | $80.28 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 18 | 18 | $80.28 |