NPI: 1790277135 · LOS ANGELES, CA 90057 · Certified Registered Nurse Anesthetist · NPI assigned 06/01/2018
| Authorized Official | COX, DWAYNE (AUTHORIZED REPRESENTATIVE) |
| NPI Enumeration Date | 06/01/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 43 | $473.82 |
| 2019 | 13 | $157.56 |