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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Ehab A. Mohamed | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| First name | Ehab | [sources] | |||
| Last name | Mohamed | [sources] | |||
| Middle name | A. | [sources] | |||
| Registration number | 00A725750 · 00A725751 · A72575 | [sources] | |||
| Sector | Physician | [sources] | |||
| Address | 1041 N. China Lake Blvd., Ridgecrest, CA · 16260 Ventura Blvd., Ste. #720, Encino, CA · 815 North Downs St., Ste. A, Ridgecrest, CA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States of America · DHCS
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States of America | Department of Health Care Services | - | |||