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CH09311BB AltaMed Health Services Corporation (Active)
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Main Details
Name
AltaMed Health Services Corporation
Subdivision Name
AltaMed Dental Group - Westlake, 3rd Street
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021924
340B ID
CH09311BB
Grant Number
H80CS00142
Additional Details
Current Program Status
Active
Registration Date
7/13/2018
Participating Start Date
10/1/2018
Participating Approval Date
7/18/2018
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
AltaMed Health Services Corporation
Jose Esparza, Sr. VP, Finance & CFO
(323) 889-7320
Primary Contact
AltaMed Health Services Corporation
Israel Espinoza, Care Management Coordinator
(323) 889-7886
Addresses
Street Address
2100 W. 3rd Street, Suite #220
Los Angeles, CA 90057-1993
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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