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CHA HOLLYWOOD MEDICAL CENTER LP
CH09311N ALTAMED MEDICAL GROUP
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Covered Entity Details
Entity Name
ALTAMED MEDICAL GROUP
Subdivision Name
AltaMed General Pediatrics @ Children's Hospital
Type
HRSA-Funded Health Center
340B ID
CH09311N
Entity Address
4650 W. SUNSET BLVD.
FIRST FLOOR, PAGE BUILDING
LOS ANGELES, CA 90027
Grant Number
H80CS00142
Participating Start Date
7/1/2008
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
CHA HOLLYWOOD MEDICAL CENTER LP
Pharmacy Address
DBA HOLLYWOOD PRESBYTERIAN MEDICAL CENTE
1300 N VERMONT AVE
1ST FLOOR DOCTORS TWR
LOS ANGELES, CA 90027-6005
Pharmacy Comments
07/18/2013: OPA request to update DEA number.
Contract Details
Approval Date
2/19/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jose Esparza, Sr. VP, Finance & CFO
(323) 889-7320
Contract Pharmacy Representative
Roberta Reynolds, Pharmacist in Charge
(323) 913-4970
Signed By Date
1/15/2013
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