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OIG exclusion detail

NAZAR AL-BUSSAM

This page shows an imported LEIE row. Verify details against the official OIG source before acting.

Imported OIG rowOfficial OIG source
NPI
1003999145
Name
NAZAR AL-BUSSAM
Address
3600 GUARD RD, #57659-112, LOMPOC, CA, 93436
Specialty
INTERNAL MEDICINE
Exclusion type
1128a4
Exclusion date
20130418
Reinstatement date
00000000
Waiver
00000000

Source snapshot

Imported: May 05, 2026

Rows: 83,001

Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7

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