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WENDELL MARK SR STREET

Debarred entity

WENDELL MARK SR STREET is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	WENDELL MARK SR STREET · Wendell Street				[sources]
Birth date	1952-01-26				[sources]
Nationality	not available				[sources]
Country	United States				[sources]
First name	Wendell				[sources]
Last name	Street				[sources]
Middle name	MARK SR				[sources]
NPI	`1437240314`				[sources]
Registration number	`00A438370` · `00A438371` · `00A438372` · `A43837`				[sources]
Sector	Physician				[sources]
Position	PAIN MANAGEMENT (PHYSICIAN (MD, DO))				[sources]
Address	14075 Hesperia Road., Suite 205, Victorville, CA, 92395 · 3901 KLEIN BLVD, LOMPOC, CA 93436				[sources]
Last change	2026-01-06	Last processed	2026-02-15	First seen	2024-05-08

Sanctions
Country	Authority	Program	Start date	End date
United States	Department of Health and Human Services Office of Inspector General		2024-04-18	-

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

United States · DHCS

People and companies excluded from Federally funded health care programs

United States · OIG

Source data IDs: us-npi-1437240314 · us-medca-f6e32730e575f9615ae4baeeb0df86e84508ffdb · us-fed-excl-wendell-mark-sr-street-93436-lompoc

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