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CHC33648-00 YEHOWA MEDICAL SERVICES (Active)
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Main Details
Name
YEHOWA MEDICAL SERVICES
Subdivision Name
Yehowa Medical Services - South Gate
Type
HRSA-Funded Health Center
Site ID
BPS-H80-029622
340B ID
CHC33648-00
Grant Number
H80CS33648
Additional Details
Current Program Status
Active
Registration Date
10/7/2019
Participating Start Date
1/1/2020
Participating Approval Date
10/9/2019
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Yehowa Medical Services
Thomas Tweh, Chief Executive Officer
(323) 776-1500 Ext: 1000
Primary Contact
Yehowa Medical services
Raquel Bernardino, Office Manager
(323) 776-1500 Ext: 1003
Addresses
Street Address
5720 IMPERIAL HWY
N-O
SOUTH GATE, CA 90280-7518
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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