All Medicaid billing entities listing TIRTAPUTRA, EVAN (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| California | 1 | $36K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | GOOD DAY PHYSICAL THERAPY PC | SAN GABRIEL, CA | Physical Therapist | $36K |