NPI: 1831603901 · PALM DESERT, CA 92260 · Procedural Dermatology Physician · NPI assigned 11/27/2017
| Authorized Official | GRAYMAN, GLEN (PRESIDENT) |
| NPI Enumeration Date | 11/27/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 69 | $27K |
| 2021 | 32 | $28K |
| 2022 | 17 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 17999 | 118 | 63 | $72K |