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CHC28368-00 SOUTHERN CALIFORNIA MEDICAL CENTER, INC. (Active)
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Main Details
Name
SOUTHERN CALIFORNIA MEDICAL CENTER, INC.
Subdivision Name
Southern California Medical Center (EM)
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015108
340B ID
CHC28368-00
Grant Number
H80CS28368
Additional Details
Current Program Status
Active
Registration Date
7/13/2015
Participating Start Date
10/1/2015
Participating Approval Date
7/14/2015
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Southern California Medical Center
Abbas Hosseini, System Manager
(818) 421-1035
Primary Contact
Southern California Medical Center
Eli Agha, Data Analyst Assistant
(818) 939-1810
Addresses
Street Address
12100 VALLEY BLVD
EL MONTE, CA 91732-3100
Billing Address
Southern California Medical Center, Inc.
12100 Valley Blvd Ste 109A
El Monte, CA 91732-3100
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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