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FQHCLA81M NORTHEAST COMMUNITY CLINIC, INC (Active)
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Main Details
Name
NORTHEAST COMMUNITY CLINIC, INC
Subdivision Name
NECC - Harbor City Health Center
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-012546
340B ID
FQHCLA81M
Grant Number
LALCS00033
Additional Details
Current Program Status
Active
Registration Date
1/2/2014
Participating Start Date
4/1/2014
Participating Approval Date
1/24/2014
Last Recertification Date
3/4/2025
Contacts
Authorizing Official
Northeast Community Clinic
CHRISTOPHER LAU, EXECUTIVE DIRECTOR
(626) 457-6900
Primary Contact
Northeast Community Clinic
Emely Orozco, Pharmacy Program Administrator
(626) 457-5209
Addresses
Street Address
1403 W. LOMITA BLVD STE 100, 101 & 106
HARBOR CITY, CA 90710-2084
Billing Address
NORTHEAST COMMUNITY CLINIC
2550 W MAIN STREET
SUITE 301
ALHAMBRA, CA 91801-1694
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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