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FP907067 L.A. COUNTY DEPARTMENT OF HEALTH SERVICES (Terminated)
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Main Details
Name
L.A. COUNTY DEPARTMENT OF HEALTH SERVICES
Subdivision Name
BELLFLOWER HEALTH CENTER
Type
Family Planning (Title X only)
340B ID
FP907067
Grant Number
FPHPA006470-01-00
Additional Details
Current Program Status
Terminated
Registration Date
1/1/1998
Participating Start Date
1/1/1998
Participating Approval Date
1/1/1998
Last Recertification Date
5/28/2019
Termination Date
Termination Reason
7/1/2020
Business decision by the Covered Entity
Contacts
Authorizing Official
Los Angeles County DHS
Quentin O'Brien, CEO, Ambulatory Care Network
(213) 288-9000
Primary Contact
Los Angeles County Dept Health Services
Delia Casarez, Title X Program Manager
(323) 914-8579
Addresses
Street Address
10005 EAST FLOWER AVE
BELLFLOWER, CA 90706
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
History
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2/17/10 UPDATED ENTITY NAME (WAS LOS ANGELES COUNTY DEPT OF HEALTH); 3/14/06 UPDATED ENTITY NAME; 3/14/06 ADDED SUBDIV NAME
02/17/2010
May 2025
May 2025
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