340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH050373S LOS ANGELES COUNTY DEPARTMENT OF HEALTH SERVICES - Los Angeles General Medical Center (Terminated)
Print
Main Details
Name
LOS ANGELES COUNTY DEPARTMENT OF HEALTH SERVICES - Los Angeles General Medical Center
Subdivision Name
LAC+USC Medical Center / Rand Schrader Rectal Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050373S
Medicare Provider Number
050373
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/15/2015
Participating Start Date
1/1/2016
Participating Approval Date
11/19/2015
Last Recertification Date
8/26/2023
Termination Date
Termination Reason
10/1/2024
Outpatient facility moved within the 4 walls of the parent hospital
Contacts
Authorizing Official
Los Angeles General Medical Center
Brad Spellberg, CMO
(323) 409-2130
Primary Contact
LAC+USC Medical Center
Beatrisa Bannister, Pharmacy Service Chief
(323) 409-4280
Addresses
Street Address
1300 North Mission Rd
Los Angeles, CA 90033
Billing Address
Los Angeles County Department of Health Services - USC Medical Center
1300 North Mission Rd
Los Angeles, CA 90033
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.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
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