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CH098820 CHILDREN'S CLINIC 'SERVING CHILDREN AND THEIR FAMILIES' THE (Active)
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Main Details
Name
CHILDREN'S CLINIC 'SERVING CHILDREN AND THEIR FAMILIES' THE
Subdivision Name
The S. Mark Taper Foundation Children's Clinic Family Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005543
340B ID
CH098820
Grant Number
H80CS00264
Additional Details
Current Program Status
Active
Registration Date
1/1/2000
Participating Start Date
1/1/2000
Participating Approval Date
6/17/2005
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
The Children's Clinic, 'Serving Children and Their Families'
Elisa Nicholas, Chief Executive Officer
(562) 264-3551 Ext: 5622643985
Primary Contact
The Children's Clinic, "Serving Children and Their Families"
CESAR VAZQUEZ, Director of Operations
(562) 264-4676
Addresses
Street Address
455 EAST COLUMBIA ST., STE 201
LONG BEACH, CA 90806-1620
Billing Address
The Children's Clinic, "Serving Children & Their Families"
701 E. 28th Street
Suite 200
Long Beach, CA 90806
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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7/22/09 ADDR CHANGE (WAS 2801 ATLANTIC AVE PO BOX 1428)6/17/05 - CH CONVERSION REPLACES FQHCLA105
07/22/2009
April 2025
April 2025
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