NPI: 1790186112 · PASADENA, CA 91101 · Pediatric Gastroenterology Physician · NPI assigned 09/05/2014
| Authorized Official | BULTRON, GILBERTO (CEO) |
| NPI Enumeration Date | 09/05/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $912.00 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 13 | 13 | $912.00 |