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CONRADO JONATHAN RESUS MIRANDA IV

Debarred entity

CONRADO JONATHAN RESUS MIRANDA IV is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	CONRADO JONATHAN RESUS MIRANDA · CONRADO JONATHAN RESUS MIRANDA IV · Conrado Jonathan Resus Miranda, IV				[sources]
Birth date	1944-04-11				[sources]
Nationality	not available				[sources]
Country	United States of America				[sources]
Description	UPIN: E00425				[sources]
First name	Conrado				[sources]
Last name	MIRANDA · Miranda, IV				[sources]
Middle name	Jonathan Resus				[sources]
NPI	`1073554168`				[sources]
Registration number	`19516-NC` · `C51139-CA`				[sources]
Sector	Physician				[sources]
Position	GENERAL PRACTICE (MEDICAL PRACTICE, MD)				[sources]
Address	GLENDALE, CA 91221, USA · P O BOX 3827, GLENDALE, CA 91221 · P.O. Box 3827, Glendale, CA				[sources]
Last change	2025-09-12	Last processed	2025-10-15	First seen	2024-05-08

Sanctions
Country	Authority	Program	Start date	End date
United States of America	Department of Health and Human Services Office of Inspector General		2009-10-20	-

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

United States of America · DHCS

People and companies excluded from Federally funded health care programs

United States · OIG

A database of suppliers who have been excluded from participating in US federal procurement.

United States of America · GSA

Source data IDs: us-medca-fe26f83e8d8aee50850003fd0d466f1f6721c136 · us-fed-excl-conrado-jonathan-resus-miranda-91221-glendale

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