Organization
JWCH INSTITUTE, INC.
Active
Parent organization
JWCH INSTITUTE, INC.
Other names
Wesley Health Center (Lynwood)
Organization subpart
Yes
Provider details
NPI number
Legal business name
JWCH INSTITUTE, INC.
Authorized official
MR. ALVARO P. BALLESTEROS (CHIEF EXECUTIVE OFFICER)
(323) 201-4516
Entity
Organization
Contact information
Practice address
3591 E IMPERIAL HWY, LYNWOOD, CA 90262-2684
(310) 223-1035
(310) 638-9080
Mailing address
5650 JILLSON ST, COMMERCE, CA 90040-1482
(323) 201-4516
(323) 215-0170
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251X00000X
Supports Brokerage Agency
—
—
261QC1500X
Community Health Clinic/Center
960000791
CA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
960000791
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM70521F
—
CA
Enumeration date
12/19/2006
Last updated
02/01/2022
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