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CHC28368-05 SOUTHERN CALIFORNIA MEDICAL CENTER, INC. (Active)
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Main Details
Name
SOUTHERN CALIFORNIA MEDICAL CENTER, INC.
Subdivision Name
Southern California Medical Center - Woodland Hills
Type
HRSA-Funded Health Center
Site ID
BPS-H80-038371
340B ID
CHC28368-05
Grant Number
H80CS28368
Additional Details
Current Program Status
Active
Registration Date
8/13/2024
Participating Start Date
10/1/2024
Participating Approval Date
8/14/2024
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Southern California Medical Center
Sheila Busheri, CEO
(818) 324-3780
Primary Contact
Southern California Medical Center
Abbas Hosseini, System Manager
(818) 421-1035
Addresses
Street Address
20011 Ventura Blvd
Woodland Hills, CA 91364-2573
Billing Address
SOUTHERN CALIFORNIA MEDICAL CENTER, INC.
14550 Haynes St
Van Nuys, CA 91411
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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