{"id":43709,"date":"2021-08-13T22:48:44","date_gmt":"2021-08-14T05:48:44","guid":{"rendered":"https:\/\/cjnotebook.com\/?p=43709"},"modified":"2021-08-13T22:49:24","modified_gmt":"2021-08-14T05:49:24","slug":"high-desert-doctor-arrested-on-federal-narcotics-charges-for-issuing-prescriptions-without-medical-need-after-telemedicine-sessions","status":"publish","type":"post","link":"https:\/\/cjnotebook.com\/?p=43709","title":{"rendered":"Doctor Arrested on Federal Narcotics Charges for Issuing Prescriptions Without Medical Need after Telemedicine Sessions"},"content":{"rendered":"\n<h2 class=\"has-text-align-center wp-block-heading\">Los Angeles<\/h2>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">A High Desert physician was arrested on charges of illegally dispensing prescriptions for often-abused controlled substances \u2013 including opioid-based medications \u2013 during telemedicine sessions with \u201cpatients\u201d from across the United States, according to officials.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Dr. Raphael Tomas Malikian, 36, who resides in Llano and Palmdale and called his medical practice Happy Family Medicine. He was arrested Wednesday by special agents with the Drug Enforcement Administration.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignright size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2015\/09\/Courtroom.jpg\" alt=\"\" class=\"wp-image-15368\" width=\"346\" height=\"313\"\/><\/figure><\/div>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">An indictment naming Malikian was unsealed at his arraignment Thursday evening, when Malikian entered not guilty pleas and a United States Magistrate Judge ordered him detained pending trial, which is currently scheduled for October 5.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Malikian is charged in an 11-count indictment with illegally distributing narcotics \u201cwhile acting and intending to act outside the usual course of professional practice and without a legitimate medical purpose.\u201d <\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">       The controlled substances that Malikian allegedly distributed are oxycodone, hydrocodone, alprazolam, promethazine and codeine.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">        The DEA investigation was prompted by multiple reports in February 2020 of suspicious prescriptions issued by Malikian.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">             The indictment alleges specific incidents in which Malikian prescribed controlled substances without a medical purpose after seven telemedicine consultations \u2013 including one conducted entirely via text message \u2013 starting in April 2020 and continuing through July 2020. <\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">            None of the consultations involved any physical exam or diagnostic tests, and the appointments lasted as little as 2 minutes and 20 seconds.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">            A federal judge on Thursday unsealed search warrants executed at Malikian\u2019s residences in conjunction with his arrest. <\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">            The affidavit in support of the search warrants outlines the DEA\u2019s investigation, which included various undercover operations in which agents from the DEA and California DOJ posed as patients and received the prescriptions that form the basis of the indictment. <\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">           The DEA agent who authored the affidavit concluded that Malikian \u201ceffectively sells prescriptions for controlled substances to patients upon request, and does so without obtaining a patient\u2019s medical history or conducting a physical examination.\u201d<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">            According to the affidavit, an independent medical expert reviewed the interactions between Malikian and the undercover agents and \u201cconcluded that Malikian \u2018did not thoroughly evaluate his patients\u2019 before prescribing \u2018potent and potentially deadly medications,\u2019 and had done so \u2018without any regard to what is required of conscientious physicians in the United States before proceeding with controlled medications.\u2019\u201d<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; A DEA investigator also reviewed patient records maintained by Malikian, which showed that Malikian saw patients across the United States. Also, about 43 percent of them shared common addresses, email addresses, \u201ccaregivers\u201d or phone numbers with other patients. <\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">According to the affidavit, one of those patients was a convicted narcotics trafficker and another was stopped at Los Angeles International Airport while carrying over $19,000 in cash and approximately 1,764 Hydrocodone and Alprazolam pills.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Malikian is presumed innocent unless proven guilty. He is facing up to 20 years in prison.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">The DEA is conducting an ongoing investigation in this case.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Los Angeles A High Desert physician was arrested on charges of illegally dispensing prescriptions for often-abused controlled substances \u2013 including opioid-based medications \u2013 during telemedicine sessions with \u201cpatients\u201d from across the United&#8230;<\/p>\n","protected":false},"author":1,"featured_media":9914,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-43709","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Doctor Arrested on Federal 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