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CHC12858-06 FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES INC (Active)
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Main Details
Name
FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES INC
Subdivision Name
Fedde School Based Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-037135
340B ID
CHC12858-06
Grant Number
H80CS12858
Additional Details
Current Program Status
Active
Registration Date
1/4/2024
Participating Start Date
4/1/2024
Participating Approval Date
1/8/2024
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Family Health Care Centers of Greater Los Angeles, Inc.
Raquel R. Villa, Chief Executive Officer
(562) 776-5014
Primary Contact
Family Health Care Centers of Greater LA
Esther Ramirez, Executive Assistant
(562) 776-5019
Addresses
Street Address
21409 Elaine Ave
Hawaiian Gardens, CA 90716-1025
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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