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Organization
JWCH INSTITUTE, INC.
Active
Organization
JWCH INSTITUTE, INC.
Active
Other names
Wesley Health Centers - Zonal Ave
Organization subpart
No
Provider details
NPI number
Authorized official
ALVARO PROSPERO BALLESTEROS (CHIEF EXECUTIVE OFFICER)
(323) 201-4516
Entity
Organization
Contact information
Practice address
1774 ZONAL AVENUE BUILDING E, LOS ANGELES, CA 90033
(323) 352-5650
Mailing address
5650 JILLSON ST, COMMERCE, CA 90040-1482
(323) 201-4516
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
261QF0400X
Federally Qualified Health Center (FQHC)
—
NULL
Other
Enumeration date
06/24/2022
Last updated
12/05/2022
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