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CH092134B PEDIATRIC & FAMILY MEDICAL CENTER (Terminated)
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Main Details
Name
PEDIATRIC & FAMILY MEDICAL CENTER
Subdivision Name
Metropolitan High School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-006593
340B ID
CH092134B
Grant Number
H80CS04223
Additional Details
Current Program Status
Terminated
Registration Date
1/24/2011
Participating Start Date
4/1/2011
Participating Approval Date
1/24/2011
Last Recertification Date
1/31/2020
Termination Date
Termination Reason
4/1/2021
Site closure
Contacts
Authorizing Official
Eisner Health
Warren J Brodine, Chief Executive Officer
(213) 746-1037 Ext: 3305
Primary Contact
Eisner Health
Nicole Alton, Director, Pharmacy Services
(213) 342-3333
Addresses
Street Address
727 Wilson St.
Los Angeles, CA 90021-1625
Billing Address
EISNER PEDIATRIC & FAMILY MEDICAL CENTER
1530 S OLIVE ST.,
LOS ANGELES, CA 90015-3023
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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