SAUL AMBRIZ — OIG Excluded Provider (SANTA ANA, CA, 1128b4)
SAUL AMBRIZ — OIG Excluded Provider (SANTA ANA, CA, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: SAUL AMBRIZ; Type: Individual; Provider category: CLINIC.
| Name | SAUL AMBRIZ |
|---|---|
| Type | Individual |
| Provider category | CLINIC |
| Specialty | TECHNICIAN |
| City | SANTA ANA |
| State | CA |
| ZIP | 92703 |
| Exclusion authority | 1128b4 |
| Exclusion reason | License revocation, suspension, or surrender |
| Exclusion date | 2009-11-19 |
| Source | HHS-OIG LEIE |
$1499/mo
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