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An orthopedic surgeon, his lawyer and more than a dozen others have been indicted in what authorities describe as one of the largest insurance fraud scams in California history that included billing of more than $150 million, the Los Angeles County district attorney’s office announced Tuesday.

Among those taken into custody was Dr. Munir Uwaydah, who prosecutors said deceived nearly two dozen patients into having surgeries they believed would be performed by him.

The operations were conducted instead by a physician’s assistant who never attended medical school and performed the operations when Uwaydah was not present, the district attorney’s office said.

Twenty one patients suffered scars and many required additional surgeries and endured lasting trauma as a result, the office said.

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