All Medicaid billing entities listing PENA, STACY (CREDENTIALING COORDINATOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| California | 1 | $36K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | COAST CENTER FOR ORTHOPEDIC AND ARTHROSCOPIC SURGERY LLC | SAN DIEGO, CA | Ambulatory Surgical Clinic/Center | $36K |