PETER AIVAZIAN — OIG Excluded Provider (NORTHRIDGE, CA, 1128b4)
PETER AIVAZIAN — OIG Excluded Provider (NORTHRIDGE, CA, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: PETER AIVAZIAN; Type: Individual; Provider category: CHIROPRACTIC PRACT.
| Name | PETER AIVAZIAN |
|---|---|
| Type | Individual |
| Provider category | CHIROPRACTIC PRACT |
| Specialty | CHIROPRACTIC |
| NPI | 1962557249 |
| City | NORTHRIDGE |
| State | CA |
| ZIP | 91324 |
| Exclusion authority | 1128b4 |
| Exclusion reason | License revocation, suspension, or surrender |
| Exclusion date | 2001-08-20 |
| Source | HHS-OIG LEIE |
$1499/mo
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