Egyptian Inc

Restricted

Egyptian Inc is subject to Restricted. See the individual lists below.

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Aliases

Addresses

Address 1 : 19015 TOWN CENTER DRIVE

Address 2 : 19015 TOWN CENTER DRIVE APPLE VALLEY California 92308

Address 3 : 1875 California Avenue, Corona, CA, 92881

ID Details

ID NUMBER : PHY 51885

ID TYPE : license_number

ID NUMBER : 14072567201285959007

ID TYPE : provider_number

ID NUMBER : 1285959007

ID TYPE : NPI

ID NUMBER : 1285959007

ID TYPE : NPI Number

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Egyptian Inc Sanctioned By Below Authorities

List Name	List Authority	Effective Date ▼	Status
Suspended and Ineligible Provider List by California Department of Health Care Services	The California Department of Health Care Services	Feb 2, 2022	active
Provider Exclusion Report by the State of New Jersey Medicaid Fraud Division	The Office of the State Comptroller of New Jersey	Oct 15, 2021	active
State of New Jersey Consolidated Debarment Report	U.S. Other Government Agencies	Oct 15, 2021	active