All Medicaid billing entities listing BOUTROS, NELLY (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| California | 1 | $143K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | MOULTON FAMILY MEDICAL, INC. | LAKE FOREST, CA | Family Medicine Physician | $143K |