TODOR PETKOV AZGOROV — OIG Excluded Provider (VAN NUYS, CA, 1128b4)
TODOR PETKOV AZGOROV — OIG Excluded Provider (VAN NUYS, CA, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: TODOR PETKOV AZGOROV; Type: Individual; Provider category: CHIROPRACTIC PRACT.
| Name | TODOR PETKOV AZGOROV |
|---|---|
| Type | Individual |
| Provider category | CHIROPRACTIC PRACT |
| Specialty | CHIROPRACTIC |
| City | VAN NUYS |
| State | CA |
| ZIP | 91405 |
| Exclusion authority | 1128b4 |
| Exclusion reason | License revocation, suspension, or surrender |
| Exclusion date | 2001-11-20 |
| Source | HHS-OIG LEIE |
$1499/mo
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