All Medicaid billing entities listing BOLON, TAMMY (OFFICE MANAGER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| California | 1 | $947K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | RANDY JACOBS DERMATOLOGY INC. | SUN CITY, CA | Dermatology Physician | $947K |