340B Drug Pricing Program Database
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CH09311AD AltaMed Health Services Corporation (Active)
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Main Details
Name
AltaMed Health Services Corporation
Subdivision Name
AltaMed Medical and Dental Group:East Los Angeles, 1st Street
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011010
340B ID
CH09311AD
Grant Number
H80CS00142
Additional Details
Current Program Status
Active
Registration Date
6/6/2012
Participating Start Date
10/1/2012
Participating Approval Date
7/12/2012
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
2219 E. 1st St.
Los Angeles, CA 90033-3901
Billing Address
AltaMed Health Services Corporation
2040 Camfield Avenue
Los Angeles, CA 90040
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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