Organization
JWCH INSTITUTE, INC
Active
Other names
Wesley Health Centers at Andrew Escajeda
Organization subpart
No
Provider details
NPI number
Authorized official
ALVARO P. BALLESTEROS (CHIEF EXECUTIVE OFFICER)
(323) 201-4516
Entity
Organization
Contact information
Practice address
1845 N FAIR OAKS AVE, G-151, PASADENA, CA 91103-1620
(562) 867-7999
(323) 215-0170
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
Primary
—
CA
Other
Enumeration date
12/23/2015
Last updated
02/01/2022
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