All Medicaid billing entities listing MA, JACKSON (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| California | 1 | $518.47 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | ACTINIUM MEDICAL CORPORATION | MONTEBELLO, CA | Adult Medicine Physician | $518.47 |