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CH09311AU ALTAMED HEALTH SERVICES CORPORATION (Active)
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Main Details
Name
ALTAMED HEALTH SERVICES CORPORATION
Subdivision Name
AltaMed PACE - South Los Angeles
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014547
340B ID
CH09311AU
Grant Number
H80CS00142
Additional Details
Current Program Status
Active
Registration Date
7/13/2015
Participating Start Date
10/1/2015
Participating Approval Date
7/15/2015
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
1776 E CENTURY BLVD
LOS ANGELES, CA 90002-3050
Billing Address
AltaMed Health Services Corporation
2040 Camfield Ave
Los Angeles, CA 90040
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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