NPI: 1952726242 · SAN DIEGO, CA 92123 · Pediatric Critical Care Medicine Physician · NPI assigned 02/24/2014
| Authorized Official | PETERSON, BRADLEY (PRESIDENT) |
| NPI Enumeration Date | 02/24/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 157 | $28K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| Z0102 | 157 | 70 | $28K |