340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH050262X RONALD REAGAN UCLA MEDICAL CENTER (Terminated)
Print
Main Details
Name
RONALD REAGAN UCLA MEDICAL CENTER
Subdivision Name
Cardiomyopathy Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050262X
Medicare Provider Number
050262
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
5/12/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/26/2012
Last Recertification Date
9/1/2015
Termination Date
Termination Reason
10/1/2015
Site closure
Contacts
Authorizing Official
UCLA Medical Center
Paul Staton, CFO
(310) 267-9308
Primary Contact
Ronald Reagan UCLA Medical Center
Kerry Menmuir, Interim Chief Pharmacy Officer
(310) 267-8509
Addresses
Street Address
200 Medical Plaza, Suite 224
Los Angeles, CA 90095
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session