Organization
JWCH INSTITUTE, INC
Active
Other names
Wesley Health Centers (Fedde)
Organization subpart
No
Provider details
NPI number
Authorized official
ALVARO P. BALLESTEROS (CHIEF EXECUTIVE OFFICER)
(323) 201-4516
Entity
Organization
Contact information
Practice address
21409 ELAINE AVE, HAWAIIAN GARDENS, CA 90716-1025
(562) 229-7811
(562) 924-2309
Mailing address
5650 JILLSON ST, COMMERCE, CA 90040-1482
(323) 201-4516
(323) 215-0170
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
06/06/2019
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