340B Drug Pricing Program Database

Name

NORTHEAST COMMUNITY CLINIC, INC

Subdivision Name

Northeast Community Clinic - Sun Valley

Type

Health Center Program Look-Alike

Site ID

BPS-LAL-018005

340B ID

FQHCLA81N

Grant Number

LALCS00033

Current Program Status

Terminated

Registration Date

7/6/2016

Participating Start Date

10/1/2016

Participating Approval Date

7/26/2016

Last Recertification Date

2/21/2019

Termination Date
Termination Reason

7/1/2019
Business decision by the Covered Entity

Authorizing Official

Northeast Community Clinic
CHRISTOPHER LAU, EXECUTIVE DIRECTOR
(626) 457-6900

Primary Contact

Northeast Community Clinic
Estefania Pulido Verduzco, Executive Assistant
(626) 457-6900

Street Address

8100 SUNLAND BOULEVARD
LOS ANGELES, CA 91352

Billing Address

Northeast Community Clinic
2550 W. MAIN STREET, SUITE 301
ALHAMBRA, CA 91801