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FQHCLA466 3C COMMUNITY CLINIC (Active)
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Main Details
Name
3C COMMUNITY CLINIC
Subdivision Name
3CCC - Olympic
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-036241
340B ID
FQHCLA466
Grant Number
LALCS48993
Additional Details
Current Program Status
Active
Registration Date
4/2/2024
Participating Start Date
7/1/2024
Participating Approval Date
6/10/2024
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
3C Community Clinic
Jaesung Kim, CEO
(213) 322-2666
Primary Contact
3C Community Clinic
Josephine Choi, Director of Operation
(213) 322-2666
Addresses
Street Address
3030 W Olympic Blvd Ste 206
Los Angeles, CA 90006-6506
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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