340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH050348AJ UCI MEDICAL CENTER (Terminated)
Print
Main Details
Name
UCI MEDICAL CENTER
Subdivision Name
Beckman Surgery Laser Center 7033
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH050348AJ
Medicare Provider Number
050348
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
5/14/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/5/2012
Last Recertification Date
8/29/2016
Termination Date
Termination Reason
10/1/2016
Loss of qualifying grant/support
Contacts
Authorizing Official
UCI Health
Chad Thurman Lefteris, CEO
(714) 714-1423
Primary Contact
UCI Health
Melanie Joe, Chief Pharmacy Officer
(714) 456-5514
Addresses
Street Address
1002 Health Sciences Road East
Beckman Laser Institute 7033
Irvine, CA 92612
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.
June 2025
June 2025
week
S
M
T
W
T
F
S
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
24
8
9
10
11
12
13
14
25
15
16
17
18
19
20
21
26
22
23
24
25
26
27
28
27
29
30
1
2
3
4
5
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