NPI: 1770720641 · LOS ANGELES, CA 90065 · Plastic and Reconstructive Surgery Physician · NPI assigned 01/14/2009
| Authorized Official | KEAGLE, JENNIFER (PRESIDENT) |
| NPI Enumeration Date | 01/14/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 13 | $647.27 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| Z4306 | 13 | 13 | $647.27 |