NPI: 1972503233 · LA JOLLA, CA 92037 · Ambulatory Surgical Clinic/Center · NPI assigned 07/28/2005
| Authorized Official | KIRKPATRICK, JENNA (ADMINISTRATOR) |
| NPI Enumeration Date | 07/28/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12 | $216.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4649 | Surgical supply; miscellaneous | 12 | 12 | $216.00 |