Organization
JWCH INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AL BALLESTEROS (CEO)
(213) 484-1186
Entity
Organization
Contact information
Practice address
5650 JILLSON ST, COMMERCE, CA 90040
(323) 201-4516
(323) 215-0170
Mailing address
1910 W SUNSET BLVD, SUITE 650, LOS ANGELES, CA 90026-3275
(213) 484-1186
(213) 413-3443
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/15/2011
Last updated
03/11/2022
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