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CH09311AA AltaMed Health Services Corporation (Active)
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Main Details
Name
AltaMed Health Services Corporation
Subdivision Name
AltaMed PACE - Grand Plaza
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004101
340B ID
CH09311AA
Grant Number
H80CS00142
Additional Details
Current Program Status
Active
Registration Date
11/6/2009
Participating Start Date
1/1/2010
Participating Approval Date
12/1/2009
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
701 CESAR E. CHAVEZ AVE
SUITE 201
LOS ANGELES, CA 90012
Billing Address
ALTAMED MEDICAL GROUP
2040 Camfield Avenue
LOS ANGELES, CA 90040
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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