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Kohana Pharmacy & Center for Regenerative Medicine

Debarred entity
TypeCompany[sources]
NameKohana Pharmacy & Center for Regenerative Medicine[sources]
Incorporation datenot available[sources]
Jurisdictionnot available[sources]
CountryUnited States[sources]
DescriptionLicense number(s): PHY 50264[sources]
Registration numbernot available[sources]
SectorEntity/Corporation[sources]
Address181 Tank Farm Road, No. 120, San Luis Obispo, CA, 93401[sources]
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US California Medicaid Suspended and ineligible providers22,466

Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.

United States · DHCS


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