340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CHC12858-04 FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES, INC. (Terminated)
Print
Main Details
Name
FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES, INC.
Subdivision Name
Maywood Family Medical Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014045
340B ID
CHC12858-04
Grant Number
H80CS12858
Additional Details
Current Program Status
Terminated
Registration Date
4/5/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/12/2016
Last Recertification Date
2/2/2022
Termination Date
Termination Reason
4/1/2023
Site closure
Contacts
Authorizing Official
Family Health Care Centers of Greater Los Angeles, Inc.
Raquel R. Villa, Chief Executive Officer
(562) 776-5014
Primary Contact
Family Health Care Centers of Greater Los Angeles, Inc.
Jennifer Nunez, Executive Assistant
(562) 776-5019
Addresses
Street Address
4943 SLAUSON AVE
MAYWOOD, CA 90270-3020
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session