340B Drug Pricing Program Database
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CHC28368-03 Southern California Medical Center, Inc. (Active)
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Main Details
Name
Southern California Medical Center, Inc.
Subdivision Name
SCMC Pomona
Type
HRSA-Funded Health Center
Site ID
BPS-H80-030432
340B ID
CHC28368-03
Grant Number
H80CS28368
Additional Details
Current Program Status
Active
Registration Date
1/5/2022
Participating Start Date
4/1/2022
Participating Approval Date
2/14/2022
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Southern California Medical Center
Abbas Hosseini, System Manager
(818) 421-1035
Primary Contact
Southern California Medical Center
Eli Agha, Data Analyst Assistant
(818) 939-1810
Addresses
Street Address
502 W Holt Ave
Pomona, CA 91768-3604
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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