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RWI93536 Los Angeles County Department of Health Services (Terminated)
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Main Details
Name
Los Angeles County Department of Health Services
Subdivision Name
High Desert Multi-Service Ambulatory Care Center
Type
Ryan White Part A
340B ID
RWI93536
Grant Number
H89HA00016
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
3/1/2020 - 2/28/2022
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
High Desert Regional Health Center
Romina Panoussi, Chief of Pharmacy
(661) 471-4107
Addresses
Street Address
335 East Ave I
Lancaster, CA 93535
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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