ROMAN ANTONOV — OIG Excluded Provider (LONG BEACH, CA, 1128a1)
ROMAN ANTONOV — OIG Excluded Provider (LONG BEACH, CA, 1128a1) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: ROMAN ANTONOV; Type: Individual; Provider category: DME COMPANY.
| Name | ROMAN ANTONOV |
|---|---|
| Type | Individual |
| Provider category | DME COMPANY |
| Specialty | SALES/MARKET/RETAIL |
| City | LONG BEACH |
| State | CA |
| ZIP | 90802 |
| Exclusion authority | 1128a1 |
| Exclusion reason | Conviction of program-related crimes |
| Exclusion date | 2002-10-20 |
| Source | HHS-OIG LEIE |
$1499/mo
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