Pirouzian v. Superior Court of Los Angeles County

1 Cal. App. 5th 438, 204 Cal. Rptr. 3d 539, 2016 Cal. App. LEXIS 566
CourtCalifornia Court of Appeal
DecidedJune 29, 2016
DocketB266015
StatusUnpublished
Cited by6 cases

This text of 1 Cal. App. 5th 438 (Pirouzian v. Superior Court of Los Angeles County) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Pirouzian v. Superior Court of Los Angeles County, 1 Cal. App. 5th 438, 204 Cal. Rptr. 3d 539, 2016 Cal. App. LEXIS 566 (Cal. Ct. App. 2016).

Opinion

Opinion

ROTHSCHILD, P. J.—

The Medical Board of California (the Board) revoked Amir Pirouzian, M.D.’s medical license. Dr. Pirouzian filed a petition in the superior court for a writ of administrative mandamus to set aside the Board’s decision, which the trial court denied. Dr. Pirouzian then filed a petition for writ of mandate in this court. We requested opposition and notified the parties of our intention to issue a peremptory writ. (See Palma v. U.S. Industrial Fasteners, Inc. (1984) 36 Cal.3d 171, 180 [203 Cal.Rptr. 626, 681 P.2d 893] (Palma).) We now grant the petition.

FACTUAL AND PROCEDURAL BACKGROUND

The Board granted a medical license to Dr. Pirouzian in 1996. Before the actions that gave rise to this proceeding, Dr. Pirouzian had no record of disciplinary action against him. It is undisputed that he is, as the administrative law judge (ALJ) found, “a highly skilled, competent physician and surgeon who has never been found responsible for causing any patient harm.”

In 2006, Dr. Pirouzian began working as a pediatric ophthalmologist at Children’s Specialists of San Diego (CSSD). CSSD provided him with a group disability insurance plan from Northwestern Mutual. Dr. Pirouzian purchased additional disability insurance from the same insurer.

On August 1, 2006, Dr. Pirouzian took a medical leave of absence from CSSD due to depression. A psychiatrist, Dr. Brett Johnson, diagnosed Dr. Pirouzian as suffering from a recurring ‘“major depressive disorder, moderate, recurrent” and certified him as being totally and temporarily disabled. While on leave, Dr. Pirouzian submitted claims for and received disability insurance benefits from Northwestern Mutual.

In October 2006, Dr. Johnson released Dr. Pirouzian to return to CSSD on a part-time basis, and Northwestern Mutual reduced his disability payments. *442 In late December 2006, Dr. Pirouzian applied for full-time employment with Kaiser Permanente Santa Clara Medical Hospital (Kaiser). He accepted an offer for the position in May 2007 and began working at Kaiser as an ophthalmologist in July. At the same time, CSSD placed Dr. Pirouzian on unpaid medical leave. Meanwhile, he failed to disclose to Dr. Johnson, CSSD, or Northwestern Mutual that he had applied for, and accepted, the position at Kaiser.

For approximately three months—from July 2007 to October 2007— Dr. Pirouzian made a series of affirmative misrepresentations regarding his employment status to Dr. Johnson, CSSD, Northwestern Mutual, and the Employment Development Department (EDD). Specifically (1) he failed to tell Dr. Johnson or CSSD that he had accepted the position with Kaiser; (2) two weeks after Dr. Pirouzian began working at Kaiser, he falsely told a Northwestern Mutual benefits specialist that he was not working, and repeated this falsehood in a letter to Northwestern Mutual the next day; (3) approximately one week later, Dr. Pirouzian spoke by telephone with another Northwestern Mutual benefits specialist and falsely told her that he had been visiting family in Iran in July and would be spending more time with them in August; (4) in a written financial statement that called for information about Dr. Pirouzian’s salary for each of his employers, he identified CSSD as his employer (from whom he received no income), and did not disclose his employment with Kaiser; (5) in early September, Dr. Pirouzian signed an EDD form stating that he had worked “0” hours from July 30 to August 12, had no earnings, and was unable to work as a result of a disability; and (6) in late September, Dr. Pirouzian falsely told a Northwestern Mutual benefits specialist that he was in Europe. As a result of Dr. Pirouzian’s misrepresentations and the concealment of his employment with Kaiser, Northwestern Mutual continued to pay disability benefits to him.

Northwestern Mutual discovered the misrepresentations in October 2007 and cancelled Dr. Pirouzian’s insurance. He had received approximately $10,700 in disability payments that should not have been paid. 1 During an investigation by the Department of Insurance, Dr. Pirouzian said that he had repaid some of the disability payments and was willing to pay the remaining sum.

*443 In June 2011, Dr. Pirouzian left Kaiser and, the following month, began a research fellowship with Gavin Herbert Eye Institute at the University of California, Irvine.

In November 2011, the San Diego County District Attorney charged Dr. Pirouzian with two counts of insurance fraud. (Pen. Code, § 550, subds. (a)(1) & (b)(1)). 2 A third count was later added: willfully delaying a public officer in the discharge of official duties, a misdemeanor, under Penal Code section 148, subdivision (a)(1). 3 After the criminal complaint was filed, Dr. Pirouzian paid Northwestern Mutual $10,700.

As part of a plea agreement, Dr. Pirouzian pled guilty to the misdemeanor count and the district attorney dismissed the insurance fraud counts. Dr. Pirouzian agreed to pay $5,000 in restitution to the Department of Insurance. The plea agreement and the court’s minutes indicated that full restitution had been paid to Northwestern Mutual. The trial court placed Dr. Pirouzian on three years’ probation, which was later reduced to 60 days. The court subsequently expunged the conviction.

Dr. Pirouzian did not report his conviction to the Board based on the advice of his counsel that he was not required to do so.

Dr. Pirouzian completed his fellowship with the Gavin Herbert Eye Institute in July 2012, then worked as a consultant for Tayani Institute through March 2013. He thereafter worked at a hospital in Saudi Arabia.

In February 2013—more than five years after his misrepresentations came to fight—the Board filed an accusation alleging four causes for discipline based on (1) acts of dishonesty or corruption (cause 1); (2) conviction of a crime (cause 2); (3) failure to report a conviction (cause 3); and (4) *444 unprofessional conduct (cause 4). 4 A hearing took place over four days in December 2013. During that hearing, Dr. Pirouzian admitted that he acted dishonestly and intended to do so. He explained that he lied about his employment with Kaiser in order to continue the lie that he was disabled and to keep his employment options with CSSD open. He also admitted that he always knew that concealing his Kaiser employment was wrong, and that his dishonesty was motivated by self-interest.

The ALJ found that although Dr. Pirouzian testified that he was ashamed and remorseful, he expressed no regret for the victims of his dishonesty; his “most evident concern was the impact [the] disciplinary action might have on his future academic and employment opportunities.” The ALJ also noted “Dr. Pirouzian’s ability to plan ahead and blame others for his own misconduct” and that he “exploited his mental condition to get his way.”

Dr. David Sheffner, a psychiatrist retained by the Board, and Dr.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Davis v. Physician Assistant Board
California Court of Appeal, 2021
Oduyale v. California State Board of Pharmacy
California Court of Appeal, 2019
Poncio v. Dep't of Res. Recycling & Recovery
246 Cal. Rptr. 3d 432 (California Court of Appeals, 5th District, 2019)
Moustafa v. Bd. of Registered Nursing
240 Cal. Rptr. 3d 873 (California Court of Appeals, 5th District, 2018)

Cite This Page — Counsel Stack

Bluebook (online)
1 Cal. App. 5th 438, 204 Cal. Rptr. 3d 539, 2016 Cal. App. LEXIS 566, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pirouzian-v-superior-court-of-los-angeles-county-calctapp-2016.