Organization
JWCH INSTITUTE, INC.
Active
Other names
Wesley Health Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALVARO P. BALLESTEROS (CHIEF EXECUTIVE OFFICER)
(323) 201-4516
Entity
Organization
Contact information
Practice address
14371 CLARK AVE, BELLFLOWER, CA 90706-2901
(562) 867-6006
(562) 867-6333
Mailing address
5650 JILLSON ST, COMMERCE, CA 90040-1482
(323) 201-4516
(323) 215-0171
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HAP70637F
—
CA
Enumeration date
10/03/2006
Last updated
07/25/2022
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