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CH09020B SOUTH CENTRAL FAMILY HEALTH CENTER (Active)
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Main Details
Name
SOUTH CENTRAL FAMILY HEALTH CENTER
Subdivision Name
Wellness Center at Jefferson High School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014113
340B ID
CH09020B
Grant Number
H80CS00265
Additional Details
Current Program Status
Active
Registration Date
7/3/2014
Participating Start Date
10/1/2014
Participating Approval Date
7/23/2014
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
South Central Family Health Center
Genevieve Filmardirossian, Chief Operating Officer- Associate Director
(323) 908-4245
Primary Contact
South Central Family Health Center
Keith Fukuyama, Pharmacy Director
(323) 908-4270
Addresses
Street Address
3410 Hooper Avenue
Los Angeles, CA 90011
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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