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Mark Chavez

Debarred entity

Mark Chavez is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	Mark Chavez				[sources]
Birth date	not available				[sources]
Nationality	not available				[sources]
Country	United States				[sources]
Description	License number(s): A 104267 · Provider number(s): 1487813150				[sources]
First name	Mark				[sources]
Last name	Chavez				[sources]
Sector	Physician				[sources]
Address	6526 Avenida Manana, La Jolla, CA, 92037				[sources]
Last change	2024-11-16	Last processed	2024-11-16	First seen	2024-11-16

Sanctions
Authority	Program	Start date	End date
Department of Health Care Services	-	2024-08-26	-

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

United States · DHCS

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