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CH09020A SOUTH CENTRAL FAMILY HEALTH CENTER (Active)
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Main Details
Name
SOUTH CENTRAL FAMILY HEALTH CENTER
Subdivision Name
SOUTH CENTRAL FAMILY HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000331
340B ID
CH09020A
Grant Number
H80CS00265
Additional Details
Current Program Status
Active
Registration Date
7/1/2000
Participating Start Date
7/1/2000
Participating Approval Date
5/20/2004
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
South Central Family Health Center
Genevieve Filmardirossian, Chief Operating Officer- Associate Director
(323) 908-4245
Primary Contact
South Central Family Health Center
Keith Fukuyama, Pharmacy Director
(323) 908-4270
Addresses
Street Address
4425 S. CENTRAL AVE.
LOS ANGELES, CA 90011-3629
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 - WAS 340B ID#FQHCLA005
05/20/2004
April 2025
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