All Medicaid billing entities listing CLARK, ELAYNE (ADMINISTRATOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| California | 1 | $164K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | 4TH STREET LASER & SURGERY CENTER INC | SANTA ROSA, CA | Ambulatory Surgical Clinic/Center | $164K |