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FQHCLA353 LIVINGSTONE COMMUNITY DEVELOPMENT CORPORATION (Active)
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Main Details
Name
LIVINGSTONE COMMUNITY DEVELOPMENT CORPORATION
Subdivision Name
Livingstone Community Health Clinic
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-021054
340B ID
FQHCLA353
Grant Number
LALCS31259
Additional Details
Current Program Status
Active
Registration Date
10/18/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/27/2017
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Livingstone Community Development Corporation
Kyung Il Park, CEO
(714) 248-9500
Primary Contact
Livingstone Community Development Corporation
Grace Kim, COO
(714) 248-9500
Addresses
Street Address
12362 Beach Blvd # 10
Stanton, CA 90680-3944
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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