Organization
JWCH INSTITUTE, INC
Active
Other names
Student Health & Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALVARO PROSPERO BALLESTEROS (CHIEF EXECUTIVE OFFICER)
(323) 201-4516
Entity
Organization
Contact information
Practice address
855 N VERMONT AVE, LOS ANGELES, CA 90029-3516
(323) 454-4870
Mailing address
5650 JILLSON ST, COMMERCE, CA 90040-1482
(323) 201-4516
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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