All Medicaid billing entities listing JACOBSEN, CORY (CEO) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| California | 1 | $188K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | REVIVE MEDICAL SUPPLIES | LOS ANGELES, CA | Durable Medical Equipment & Medical Supplies | $188K |