All Medicaid billing entities listing KHOURDAJI, ABDALLAH (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| California | 1 | $155K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | FAIRMONT DERMATOLOGY MEDICAL ASSOCIATES INC | LODI, CA | Dermatology Physician | $155K |