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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