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CH09311Y ALTAMED HEALTH SERVICES CORPORATION (Active)
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Main Details
Name
ALTAMED HEALTH SERVICES CORPORATION
Subdivision Name
AltaMed Medical Group: Garden Grove, Harbor
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008443
340B ID
CH09311Y
Grant Number
H80CS00142
Additional Details
Current Program Status
Active
Registration Date
6/8/2009
Participating Start Date
7/1/2009
Participating Approval Date
6/15/2009
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
AltaMed Health Services Corporation
Jose Esparza, Sr. VP, Finance & CFO
(323) 889-7320
Primary Contact
AltaMed Health Services Corporation
Israel Espinoza, Care Management Coordinator
(323) 889-7886
Addresses
Street Address
12751 Harbor Blvd
Garden Grove, CA 92840-5800
Billing Address
AltaMed Health Services Corporation
2040 Camfield Ave
LOS ANGELES, CA 90040
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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