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FP93536 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
Family Planning (Title X only)
340B ID
FP93536
Grant Number
FPHPA006470-01-00
Additional Details
Current Program Status
Terminated
Registration Date
10/2/2012
Participating Start Date
1/1/2013
Participating Approval Date
10/9/2012
Last Recertification Date
5/4/2020
Termination Date
Termination Reason
7/1/2020
Business decision by the Covered Entity
Contacts
Authorizing Official
High Desert Regional Health Center
Beryl Brooks, Administrator
(661) 471-4200
Primary Contact
High Desert Regional Health Center
Romina Panoussi, Chief of Pharmacy
(661) 471-4107
Addresses
Street Address
335 East Ave I
RM 1A14
Lancaster, CA 93535
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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