JUAN R BALTIERRA — OIG Excluded Provider (SOLEDAD, CA, 1128a2)
JUAN R BALTIERRA — OIG Excluded Provider (SOLEDAD, CA, 1128a2) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: JUAN R BALTIERRA; Type: Individual; Provider category: PHYSICIAN ASSISTANT.
| Name | JUAN R BALTIERRA |
|---|---|
| Type | Individual |
| Provider category | PHYSICIAN ASSISTANT |
| City | SOLEDAD |
| State | CA |
| ZIP | 93960 |
| Exclusion authority | 1128a2 |
| Exclusion reason | Conviction relating to patient abuse or neglect |
| Exclusion date | 1999-03-18 |
| Source | HHS-OIG LEIE |
$1499/mo
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