BONIFACIO AMONTOS — OIG Excluded Provider (CARSON, CA, 1128b4)
BONIFACIO AMONTOS — OIG Excluded Provider (CARSON, CA, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: BONIFACIO AMONTOS; Type: Individual; Provider category: NURSING PROFESSION.
| Name | BONIFACIO AMONTOS |
|---|---|
| Type | Individual |
| Provider category | NURSING PROFESSION |
| Specialty | NURSE/NURSES AIDE |
| City | CARSON |
| State | CA |
| ZIP | 90745 |
| Exclusion authority | 1128b4 |
| Exclusion reason | License revocation, suspension, or surrender |
| Exclusion date | 2004-08-19 |
| Source | HHS-OIG LEIE |
$1499/mo
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