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CH099410 CLINICA MSR OSCAR A ROMERO (Active)
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Main Details
Name
CLINICA MSR OSCAR A ROMERO
Subdivision Name
CLINICA MONSENOR OSCAR A. ROMERO
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001975
340B ID
CH099410
Grant Number
H80CS00844
Additional Details
Current Program Status
Active
Registration Date
4/1/2000
Participating Start Date
4/1/2000
Participating Approval Date
12/6/2004
Last Recertification Date
3/4/2025
Contacts
Authorizing Official
Clinica Msr. Oscar A. Romero
Carlos Vaquerano, Executive Director
(213) 989-7700
Primary Contact
Clinica Msr Oscar A Romero
Romeo Herrera, Director of Compliance
(310) 407-9331
Addresses
Street Address
123 S Alvarado St
Los Angeles, CA 90057-2201
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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ADMIN CORRECTION - REPLACES FQHCLA115; 12/6/04 - NEW CONTACT INFO
12/06/2004
April 2025
April 2025
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