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FQHCLA81R NORTHEAST COMMUNITY CLINIC, INC (Terminated)
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Main Details
Name
NORTHEAST COMMUNITY CLINIC, INC
Subdivision Name
Northeast Community Clinic
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-018002
340B ID
FQHCLA81R
Grant Number
LALCS00033
Additional Details
Current Program Status
Terminated
Registration Date
7/6/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/18/2016
Last Recertification Date
2/24/2023
Termination Date
Termination Reason
4/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
Northeast Community Clinic
CHRISTOPHER LAU, EXECUTIVE DIRECTOR
(626) 457-6900
Primary Contact
Northeast Community Clinic
Emely Orozco, Pharmacy Program Administrator
(626) 457-5209
Addresses
Street Address
1403 LOMITA BOULEVARD, SUITE 103
Harbor City, CA 90710
Billing Address
Northeast Community Clinic
2550 W. MAIN STREET, SUITE 301
ALHAMBRA, CA 91801
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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