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CH092134F Eisner Health Family Medicine Center at California Hospital (Active)
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Main Details
Name
Eisner Health Family Medicine Center at California Hospital
Subdivision Name
Eisner Health Family Medicine Center at California Hospital
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010592
340B ID
CH092134F
Grant Number
H80CS04223
Additional Details
Current Program Status
Active
Registration Date
7/18/2011
Participating Start Date
10/1/2011
Participating Approval Date
9/26/2011
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
Eisner Health
Monica Gutierrez-McCarthy, CEO
(213) 342-3325
Primary Contact
Eisner Health
Nicole Marie Tavares-Kuhn, Director, Pharmacy Services
(213) 588-0467
Addresses
Street Address
1400 S. Grand Ave. STE 101
Los Angeles, CA 90015
Billing Address
Eisner Health
1530 S Olive St.,
Los Angeles, CA 90015
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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