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CHC26614-07 APLA HEALTH & WELLNESS (Active)
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Main Details
Name
APLA HEALTH & WELLNESS
Subdivision Name
APLA Health - Michael Gottlieb Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-038191
340B ID
CHC26614-07
Grant Number
H80CS26614
Additional Details
Current Program Status
Active
Registration Date
2/21/2024
Participating Start Date
4/1/2024
Participating Approval Date
2/22/2024
Last Recertification Date
3/3/2025
Contacts
Authorizing Official
APLA Health & Wellness
Craig E. Thompson, Chief Executive Officer
(213) 201-1456
Primary Contact
APLA Health & Wellness
Joseph Moldovan, Chief Financial Officer
(213) 201-1411
Addresses
Street Address
7531 Santa Monica Blvd, Ste 100
West Hollywood, CA 90046-6458
Billing Address
APLA Health & Wellness
611 S. Kingsley Dr.
c/o Joseph Moldovan
Los Angeles, CA 90005
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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