Organization
JWCH INSTITUTE, INC.
Active
Other names
Wesley Health Centers- Palmdale East
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALVARO P BALLERSTEROS (CHIEF EXECUTIVE OFFICER)
(323) 201-4516
Entity
Organization
Contact information
Practice address
37926 47TH ST E, PALMDALE, CA 93552-3272
(661) 942-2391
Mailing address
5650 JILLSON ST, COMMERCE, CA 90040-1482
(323) 201-4516
(323) 215-0228
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251X00000X
Supports Brokerage Agency
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2019
Last updated
03/23/2022
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