JOSE SAYSON BALLESTEROS — OIG Excluded Provider (LA MIRADA, CA, 1128a1)
JOSE SAYSON BALLESTEROS — OIG Excluded Provider (LA MIRADA, CA, 1128a1) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: JOSE SAYSON BALLESTEROS; Type: Individual; Provider category: MEDICAL PRACTICE, MD.
| Name | JOSE SAYSON BALLESTEROS |
|---|---|
| Type | Individual |
| Provider category | MEDICAL PRACTICE, MD |
| Specialty | GENERAL PRACTICE/FP |
| City | LA MIRADA |
| State | CA |
| ZIP | 90638 |
| Exclusion authority | 1128a1 |
| Exclusion reason | Conviction of program-related crimes |
| Exclusion date | 1999-09-20 |
| Source | HHS-OIG LEIE |
$1499/mo
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