CRENSHAW FAMILY PRAC MED GROUP — OIG Excluded Provider (LOS ANGELES, CA, 1128a1)
CRENSHAW FAMILY PRAC MED GROUP — OIG Excluded Provider (LOS ANGELES, CA, 1128a1) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: CRENSHAW FAMILY PRAC MED GROUP; Type: Entity; Provider category: CLINIC.
| Name | CRENSHAW FAMILY PRAC MED GROUP |
|---|---|
| Type | Entity |
| Provider category | CLINIC |
| City | LOS ANGELES |
| State | CA |
| ZIP | 90018 |
| Exclusion authority | 1128a1 |
| Exclusion reason | Conviction of program-related crimes |
| Exclusion date | 1995-04-09 |
| Source | HHS-OIG LEIE |
$1499/mo
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