# JWCH INSTITUTE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wesley Health Centers - Zonal Ave
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659003127
- **Authorized official:** ALVARO PROSPERO BALLESTEROS (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (323) 201-4516

## Contact information

- **Practice address:** 1774 ZONAL AVENUE BUILDING E, LOS ANGELES, CA 90033
- **Practice address phone:** (323) 352-5650
- **Mailing address:** 5650 JILLSON ST, COMMERCE, CA 90040-1482
- **Mailing address phone:** (323) 201-4516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | NULL | — |

## Other

- **Enumeration date:** 06/24/2022
- **Last updated:** 12/05/2022