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DSH050376 LOS ANGELES COUNTY (LAC) (Active)
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Main Details
Name
LOS ANGELES COUNTY (LAC)
Subdivision Name
HARBOR-UCLA MEDICAL CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050376
Medicare Provider Number
050376
Additional Details
Current Program Status
Active
Registration Date
4/23/2008
Participating Start Date
7/1/1997
Participating Approval Date
4/23/2008
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Harbor-UCLA Medical Center
Andrea Turner, CEO
(424) 306-6318
Primary Contact
Harbor-UCLA Medical Center
Julianne Joo, Pharmacy Director
(424) 306-7474
Addresses
Street Address
1000 WEST CARSON ST.
TORRANCE, CA 90502
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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