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CHC26614-02 APLA HEALTH & WELLNESS (Terminated)
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Main Details
Name
APLA HEALTH & WELLNESS
Subdivision Name
APLA Health & Wellness - S. Mark Taper Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-016813
340B ID
CHC26614-02
Grant Number
H80CS26614
Additional Details
Current Program Status
Terminated
Registration Date
1/7/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/11/2016
Last Recertification Date
1/28/2019
Termination Date
Termination Reason
7/1/2019
Site closure
Contacts
Authorizing Official
APLA Health & Wellness
Craig E. Thompson, Chief Executive Officer
(213) 201-1456
Primary Contact
APLA Health & Wellness
Robyn Goldman, Chief Financial Officer
(213) 201-1546
Addresses
Street Address
1741 E 120TH ST
LOS ANGELES, CA 90059-3051
Billing Address
APLA Health & Wellness
611 S. Kingsley Drive
Los Angeles, CA 90005-2319
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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