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CH09882N CHILDREN'S CLINIC 'SERVING CHILDREN AND THEIR FAMILIES' THE (Active)
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Main Details
Name
CHILDREN'S CLINIC 'SERVING CHILDREN AND THEIR FAMILIES' THE
Subdivision Name
The Children's Clinic Family Health Center Westside
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013075
340B ID
CH09882N
Grant Number
H80CS00264
Additional Details
Current Program Status
Active
Registration Date
7/16/2014
Participating Start Date
10/1/2014
Participating Approval Date
7/21/2014
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
The Children's Clinic, 'Serving Children and Their Families'
Elisa Nicholas, Chief Executive Officer
(562) 264-3551 Ext: 5622643985
Primary Contact
The Children's Clinic, "Serving Children and Their Families"
CESAR VAZQUEZ, Director of Operations
(562) 264-4676
Addresses
Street Address
2125 Santa Fe Ave
Long Beach, CA 90810-3547
Billing Address
The Children's Clinic, "Serving Children & Their Families"
701 E. 28th St.
Suite 200
Long Beach, CA 90806
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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