Organization
JWCH INSTITUTE INC
Active
Other names
Wesley Health Centers - Health and Wellness Center 2
Organization subpart
No
Provider details
NPI number
Authorized official
ALVARO PROSPERO BALLESTEROS (CHIEF EXECUTIVE OFFICER)
(323) 201-4516
Entity
Organization
Contact information
Practice address
45124 10TH ST W, LANCASTER, CA 93534-2310
(866) 733-5924
Mailing address
5650 JILLSON ST, COMMERCE, CA 90040-1482
(323) 201-4516
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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