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CHC26614-00 APLA HEALTH & WELLNESS (Active)
Main Details
Name
APLA HEALTH & WELLNESS
Subdivision Name
APLA Health & Wellness Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013374
340B ID
CHC26614-00
Grant Number
H80CS26614
Contacts
Authorizing Official
APLA Health & Wellness
Craig E. Thompson, Chief Executive Officer
(213) 201-1456
Primary Contact
APLA Health & Wellness
Joseph Moldovan, Chief Clinical Operations Officer
(213) 201-1411
Additional Details
Current Program Status
Active
Registration Date
4/1/2014
Participating Start Date
7/1/2014
Participating Approval Date
4/11/2014
Last Recertification Date
2/1/2024
Addresses
Street Address
3743 S. La Brea Ave.
Los Angeles, CA 90016-5309
Billing Address
APLA Health & Wellness
611 S Kingsley Drive
c/o Joseph Moldovan
Los Angeles, CA 90005-2319
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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