Organization
JWCH INSTITUTE, INC.
Active
Parent organization
JWCH INSTITUTE, INC.
Other names
JWCH Norwalk Regional Hth Ctr
Organization subpart
Yes
Provider details
NPI number
Legal business name
JWCH INSTITUTE, INC.
Authorized official
MR. ALVARO P. BALLESTEROS (CHIEF EXECUTIVE OFFICER)
(323) 201-4516
Entity
Organization
Contact information
Practice address
12360 E FIRESTONE BLVD, NORWALK, CA 90650-4324
(562) 281-0305
(562) 281-0309
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
—
—
261Q00000X
Clinic/Center
550000250
CA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
550000250
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM71151F
—
CA
Enumeration date
12/21/2006
Last updated
02/01/2022
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