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CH092143G LOS ANGELES CHRISTIAN HEALTH CENTERS (Terminated)
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Main Details
Name
LOS ANGELES CHRISTIAN HEALTH CENTERS
Subdivision Name
VOLUNTEERS OF AMERICA DROP-IN-CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-006753
340B ID
CH092143G
Grant Number
H80CS06674
Additional Details
Current Program Status
Terminated
Registration Date
11/29/2007
Participating Start Date
1/1/2008
Participating Approval Date
11/28/2007
Last Recertification Date
2/13/2017
Termination Date
Termination Reason
4/1/2018
Site closure
Contacts
Authorizing Official
Los Angeles Christian Health Centers
Bettina Lewis, Chief Operations Officer
(213) 893-1960
Primary Contact
Los Angeles Christian Health Centers
Kelly Chen, Pharmacy Director
(323) 268-8391
Addresses
Street Address
628 San Julian St
Los Angeles, CA 90014-2412
Billing Address
LOS ANGELES CHRISTIAN HEALTH CENTERS
PO Box 33137
LOS ANGELES, CA 90033
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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