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FP92614 AIDS Services Foundation Orange County dba Radiant Health Centers (Active)
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Main Details
Name
AIDS Services Foundation Orange County dba Radiant Health Centers
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP92614
Grant Number
FPHPA006537
Additional Details
Current Program Status
Active
Registration Date
10/11/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/19/2018
Last Recertification Date
5/15/2024
Contacts
Authorizing Official
AIDS Services Foundation Orange County dba Radiant Health Centers
Danielle Nagao, CFO
(714) 264-2709
Primary Contact
AIDS Services Foundation Orange County dba Radiant Health Centers
Brandi Tatman, Project Manager
(949) 809-5723
Addresses
Street Address
17982 Sky Park Circle
Suite J
Irvine, CA 92614-6482
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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