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COUNTY OF LOS ANGELES - AUDITOR CONTROLL
CH092143T LOS ANGELES CHRISTIAN HEALTH CENTERS
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Covered Entity Details
Entity Name
LOS ANGELES CHRISTIAN HEALTH CENTERS
Subdivision Name
Los Angeles Christian Health Centers at New Genesis
Type
HRSA-Funded Health Center
340B ID
CH092143T
Entity Address
456 S. Main Street
(Exam Rm 1 & 2, vitals room, waiting room)
Los Angeles, CA 90013
Grant Number
H80CS06674
Participating Start Date
1/1/2014
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
COUNTY OF LOS ANGELES - AUDITOR CONTROLL
Pharmacy Address
313 N FIGUEROA ST STE 1225
HEALTH SERVICES CENTRAL PHARMACY
LOS ANGELES, CA 90012-2602
Pharmacy Comments
Contract Details
Approval Date
7/6/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bettina Lewis, Chief Operations Officer
(213) 893-1960
Contract Pharmacy Representative
LA County DHS
Rabeah Elbanna, Pharmacy Supervisor I
(213) 288-7717
Signed By Date
7/6/2021
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