Organization
JWCH INSTITUTE, INC.
Active
Other names
JWCH (ST GEORGE HOTEL)
Organization subpart
No
Provider details
NPI number
Authorized official
ALVARO BALLESTEROS (CHIEF EXECUTIVE OFFICER)
(323) 201-4516
Entity
Organization
Contact information
Practice address
115 E 3RD ST, LOS ANGELES, CA 90013-1301
(213) 613-1778
(213) 613-1884
Mailing address
5650 JILLSON ST, COMMERCE, CA 90040-1482
(323) 201-4516
(323) 215-0170
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
CA
Other
Enumeration date
10/07/2015
Last updated
11/02/2016
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