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DSH050040 OLIVE VIEW MEDICAL CENTER (Active)
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Main Details
Name
OLIVE VIEW MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050040
Medicare Provider Number
050040
Additional Details
Current Program Status
Active
Registration Date
10/30/2007
Participating Start Date
1/1/1998
Participating Approval Date
10/30/2007
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Olive View UCLA Medical Center
JESSICA KUO, COO
(747) 210-3837
Primary Contact
Olive View-UCLA Med Ctr
Jeffrey Melnick, Pharmacy Director
(747) 210-3805
Addresses
Street Address
14445 OLIVE VIEW DR.
SYLMAR, CA 91342
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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