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LOS ANGELES COUNTY HEALTH SERVICES CENTRAL PHARMACY
DSH050717 RANCHO LOS AMIGOS NATIONAL REHABILITATION CENTER
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Covered Entity Details
Entity Name
RANCHO LOS AMIGOS NATIONAL REHABILITATION CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050717
Entity Address
7601 IMPERIAL HIGHWAY
DOWNEY, CA 90242
Medicare Provider Number
050717
Participating Start Date
1/1/2001
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
LOS ANGELES COUNTY HEALTH SERVICES CENTRAL PHARMACY
Pharmacy Address
313 N FIGUEROA STREET
SUITE 1225
LOS ANGELES, CA 90012
Pharmacy Comments
Contract Details
Approval Date
8/1/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/30/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
JORGE OROZCO, CEO
(562) 385-7022
Contract Pharmacy Representative
DHS
Shane D'Souza, Pharmacy Services Chief II
(213) 240-7717
Signed By Date
7/21/2014
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