NPI: 1952393076 · SAN MATEO, CA 94403 · Durable Medical Equipment & Medical Supplies · NPI assigned 08/16/2005
| Authorized Official | GRIMES, JEREMY (MANAGER) |
| NPI Enumeration Date | 08/16/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 43 | $324K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0100 | 43 | 43 | $324K |