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FP92706 AIDS Services Foundation Orange County dba Radiant Health Centers (Terminated)
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Main Details
Name
AIDS Services Foundation Orange County dba Radiant Health Centers
Subdivision Name
AIDS Services Foundation Orange County
Type
Family Planning (Title X only)
340B ID
FP92706
Grant Number
FPHPA006470
Additional Details
Current Program Status
Terminated
Registration Date
10/15/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/19/2018
Last Recertification Date
5/29/2020
Termination Date
Termination Reason
4/1/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
AIDS Services Foundation Orange County dba Radiant Health Centers
Daniel Bryan Seargeant, CFO
(949) 809-5700
Primary Contact
AIDS Services Foundation Orange County dba Radiant Health Centers
Brandi Tatman, Project Manager
(949) 809-5723
Addresses
Street Address
2708 Westminster Avenue
110
Santa Ana, CA 92706
Billing Address
AIDS Services Foundation Orange County dba Radiant Health Centers
17982 Sky Park Circle
J
Irvine, CA 92614
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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