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FQHCLA322A COMPLETE CARE COMMUNITY HEALTH CENTER, INC. (Terminated)
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Main Details
Name
COMPLETE CARE COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Complete Care Health Center - South Gate
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-014633
340B ID
FQHCLA322A
Grant Number
LALCS00153
Additional Details
Current Program Status
Terminated
Registration Date
7/2/2015
Participating Start Date
10/1/2015
Participating Approval Date
8/4/2015
Last Recertification Date
2/14/2017
Termination Date
Termination Reason
4/1/2018
Failure to recertify
Contacts
Authorizing Official
Yury Akopyan, CEO
(562) 806-7545
Primary Contact
Yury Akopyan, CEO
(562) 806-7545
Addresses
Street Address
5831 Firestone Blvd., Ste E
South Gate, CA 90280-3718
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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