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FP91206 L.A. COUNTY DEPARTMENT OF HEALTH SERVICES (Terminated)
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Main Details
Name
L.A. COUNTY DEPARTMENT OF HEALTH SERVICES
Subdivision Name
GLENDALE HEALTH CENTER
Type
Family Planning (Title X only)
340B ID
FP91206
Grant Number
FPHPA006470-01-00
Additional Details
Current Program Status
Terminated
Registration Date
11/10/2010
Participating Start Date
1/1/2011
Participating Approval Date
11/29/2010
Last Recertification Date
5/15/2019
Termination Date
Termination Reason
7/1/2020
Business decision by the Covered Entity
Contacts
Authorizing Official
Los Angeles County DHS
Quentin O'Brien, CEO, Ambulatory Care Network
(213) 288-9000
Primary Contact
Los Angeles County Dept Health Services
Delia Casarez, Title X Program Manager
(323) 914-8579
Addresses
Street Address
501 N. GLENDALE AVE.
GLENDALE, CA 91206
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
History
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2/29/12 Updated entity name (was LA COUNTY DEPARTMENT OF HEALTH SERVICES).
02/29/2012
May 2025
May 2025
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