340B Drug Pricing Program Database

Name

SOUTH BAY FAMILY HEALTH CARE CENTER INC

Subdivision Name

SOUTH BAY FAMILY HEALTHCARE CENTER

Type

HRSA-Funded Health Center

Site ID

BPS-H80-003716

340B ID

CH0910260

Grant Number

H80CS00877

Current Program Status

Terminated

Registration Date

4/1/2004

Participating Start Date

4/1/2004

Participating Approval Date

2/26/2004

Last Recertification Date

2/4/2021

Termination Date
Termination Reason

1/1/2022
Other

Authorizing Official

SBFHC
JANN HAMILTON LEE, CHIEF EXECUTIVE OFFICER
(310) 802-6177 Ext: 1105

Primary Contact

South Bay Family Health Care
Bertha Becerra, QA/QI Director
(310) 802-6177 Ext: 1116

Street Address

23430 Hawthorne Blvd
Torrance, CA 90505-4720

Billing Address
Same as Street Address