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RWI90003 Los Angeles County Department of Health Services (Terminated)
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Main Details
Name
Los Angeles County Department of Health Services
Subdivision Name
Hubert Humphrey Comprehensive Health Center
Type
Ryan White Part A
340B ID
RWI90003
Grant Number
H89HA00016
Additional Details
Current Program Status
Terminated
Registration Date
9/22/2011
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
LA COUNTY DEPARTMENT OF HEALTH SERVICES
Veronica In Kim, HHHCHC PHARMACY CHIEF
(323) 897-6368
Addresses
Street Address
5850 South Main Street
Los Angeles, CA 90003
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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10/6/11 - Updated Sub-Division Name
10/06/2011
May 2025
May 2025
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