Organization
JWCH INSTITUTE INC
Active
Organization
JWCH INSTITUTE INC
Active
Other names
Wesley Health Centers (Lynwood)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALVARO BALLESTEROS (CHIEF EXECUTIVE OFFICER)
(323) 201-4516
Entity
Organization
Contact information
Practice address
3590 E IMPERIAL HWY, LYNWOOD, CA 90262-2655
(310) 223-1035
(323) 215-0170
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
960000791
CA
Other
Enumeration date
04/24/2012
Last updated
03/23/2022
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