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David Herbert Betat

Debarred entity
TypePerson[sources]
NameDavid Herbert Betat[sources]
Birth datenot available[sources]
Nationalitynot available[sources]
CountryUnited States[sources]
DescriptionLicense number(s): G 57755, BB0500365 · Provider number(s): 00G577550, 1659387512[sources]
First nameDavid[sources]
Last nameBetat[sources]
Middle nameHerbert[sources]
SectorPhysician; Other[sources]
Address2255 Cedar Hill Way, Lakeport, CA, 95453[sources]
Last changeLast processedFirst seen

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US California Medicaid Suspended and ineligible providers22,466

Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.

United States · DHCS


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