All Medicaid billing entities listing PORTILLO, RICHARD (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| California | 1 | $286.34 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | RICHARD A PORTILLO O D A PROFESSIONAL OPTOMETRIC CORPORATION | MODESTO, CA | Point of Service | $286.34 |