Organization
JWCH INSTITUTE, INC.
Active
Other names
Bell Gardens Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALVARO P. BALLESTEROS (CHIEF EXECUTIVE OFFICER)
(323) 201-4516
Entity
Organization
Contact information
Practice address
6912 AJAX AVE, BELL GARDENS, CA 90201-4057
(323) 562-5813
(323) 326-1146
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
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
550000019
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC71083F
—
CA
Enumeration date
10/03/2006
Last updated
02/01/2022
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