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CH09311B ALTAMED HEALTH SERVICES CORPORATION (Active)
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Main Details
Name
ALTAMED HEALTH SERVICES CORPORATION
Subdivision Name
AltaMed Medical Group Pico Rivera, Slauson
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005522
340B ID
CH09311B
Grant Number
H80CS00142
Additional Details
Current Program Status
Active
Registration Date
4/1/2001
Participating Start Date
4/1/2001
Participating Approval Date
4/29/2005
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
AltaMed Health Services Corporation
Jose Esparza, Sr. VP, Finance & CFO
(323) 889-7320
Primary Contact
AltaMed Health Services Corporation
Israel Espinoza, Care Management Coordinator
(323) 889-7886
Addresses
Street Address
9436 Slauson Ave
Pico Rivera, CA 90660-4748
Billing Address
AltaMed Health Services Corporation
2040 Camfield Ave
LOS ANGELES, CA 90040
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW CONTACT INFO, ENTITY NAME CORRECTION, NEW BILL TO
08/11/2005
April 2025
April 2025
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