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FQHCLA373B HEALTH ACCESS FOR ALL INC. (Terminated)
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Main Details
Name
HEALTH ACCESS FOR ALL INC.
Subdivision Name
Angeles Community Health Center - Gardena
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-027195
340B ID
FQHCLA373B
Grant Number
LALCS31681
Additional Details
Current Program Status
Terminated
Registration Date
7/8/2019
Participating Start Date
10/1/2019
Participating Approval Date
8/5/2019
Last Recertification Date
Termination Date
Termination Reason
4/1/2020
Change of covered entity type (non-hospital)
Contacts
Authorizing Official
Angeles Community Health Center
Peyman Banooni, CEO
(213) 228-3808
Primary Contact
Angeles Community Health Center
Mariana Canela, Administrator
(213) 413-2222 Ext: 2120
Addresses
Street Address
1030 W Gardena Blvd
Gardena, CA 90247-4956
Billing Address
Health Access For All INC
1919 W 7th St, 3rd Floor
Los Angeles, CA 90057
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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