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FP917311 L.A. COUNTY DEPARTMENT OF HEALTH SERVICES (Terminated)
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Main Details
Name
L.A. COUNTY DEPARTMENT OF HEALTH SERVICES
Subdivision Name
EL MONTE COMPREHENSIVE CENTER
Type
Family Planning (Title X only)
340B ID
FP917311
Grant Number
FPHPA096061
Additional Details
Current Program Status
Terminated
Registration Date
4/1/1993
Participating Start Date
4/1/1993
Participating Approval Date
4/1/1993
Last Recertification Date
5/24/2019
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
Khanh Le, Pharmacy Services Chief II
(626) 579-8419
Addresses
Street Address
10953 RAMONA BLVD
EL MONTE, CA 91731
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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2/19/10 UPDATED ENTITY NAME (WAS LOS ANGELES COUNTY DEPT OF HEALTH) ; 3/14/06 UPDATED ENTITY NAME; 3/14/06 ADDED SUBDIV NAME;
02/19/2010
May 2025
May 2025
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