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RWI90813 Los Angeles County Department of Health Services (Terminated)
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Main Details
Name
Los Angeles County Department of Health Services
Subdivision Name
Long Beach Comprehensive Health Center
Type
Ryan White Part A
340B ID
RWI90813
Grant Number
LOS ANGELES EMA
Additional Details
Current Program Status
Terminated
Registration Date
9/7/2011
Participating Start Date
1/1/2012
Participating Approval Date
12/21/2011
Last Recertification Date
2/22/2022
Time Period the Assistance was Received
12/18/2020 - 3/8/2021
Termination Date
Termination Reason
4/1/2023
Failure to recertify
Contacts
Authorizing Official
Los Angeles County DHS
Quentin O'Brien, CEO, Ambulatory Care Network
(213) 288-9000
Primary Contact
Long Beach Comprehensive Health Ctr
Peter Chen, Pharmacy Director
(562) 753-2400
Addresses
Street Address
1333 Chestnut Ave
Long Beach, CA 90813
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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2/13/12-Removed room number #205A.
02/13/2012
April 2025
April 2025
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