NPI: 1871661967 · ANTIOCH, CA 94509 · Skilled Nursing Facility · NPI assigned 11/30/2006
| Authorized Official | SUNGA, PHYLENE (ADMINISTRATOR) |
| NPI Enumeration Date | 11/30/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 47 | $240K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0120 | 47 | 38 | $240K |