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CH09311AJ ALTAMED HEALTH SERVICES CORPORATION (Active)
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Main Details
Name
ALTAMED HEALTH SERVICES CORPORATION
Subdivision Name
AltaMed Medical Group: Santa Ana Bristol Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013437
340B ID
CH09311AJ
Grant Number
H80CS00142
Additional Details
Current Program Status
Active
Registration Date
4/15/2014
Participating Start Date
7/1/2014
Participating Approval Date
5/2/2014
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
2720 S Bristol St STE 110
Santa Ana, CA 92704-6210
Billing Address
AltaMed Health Services
2040 Camfield Avenue
Los Angeles, CA 90040
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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