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RWI92653 Shanti Orange County (Active)
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Main Details
Name
Shanti Orange County
Subdivision Name
Type
Ryan White Part A
340B ID
RWI92653
Grant Number
H89HA00019
Additional Details
Current Program Status
Active
Registration Date
1/13/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/14/2017
Last Recertification Date
2/22/2025
Time Period the Assistance was Received
3/1/2024 - 2/28/2025
Contacts
Authorizing Official
Shanti Orange County
Lindsay Ann Fitzpatrick, Executive Director
(949) 452-0888 Ext: 9494520888
Primary Contact
Shanti Orange County
Melissa Reynoso, Program Coordinator
(949) 452-0888 Ext: 9494520888
Addresses
Street Address
23461 South Pointe Drive
Suite 100
Laguna Hills, CA 92653
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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