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CHC26621-02 Los Angeles LGBT Center (Active)
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Main Details
Name
Los Angeles LGBT Center
Subdivision Name
Mi Centro
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031452
340B ID
CHC26621-02
Grant Number
H80CS26621
Additional Details
Current Program Status
Active
Registration Date
1/11/2021
Participating Start Date
4/1/2021
Participating Approval Date
1/14/2021
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Los Angeles LGBT Center
Robyn Goldman, Chief Financial Officer
(323) 993-8948
Primary Contact
Los Angeles LGBT Center
Nicole Thibeau, Director of Pharmacy
(323) 993-7445
Addresses
Street Address
553 S Clarence St Ste 6
Los Angeles, CA 90033-4225
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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