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Organization

JWCH INSTITUTE, INC.

Active
Parent organization
JWCH INSTITUTE, INC.
Other names
JWCH Institute Inc Medical Clinic Weingart Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
JWCH INSTITUTE, INC.
Authorized official
ALVARO P. BALLESTEROS (CHIEF EXECUTIVE OFFICER)
(213) 484-1186
Entity
Organization

Contact information

Practice address
522 S SAN PEDRO ST, LOS ANGELES, CA 90013-2102
(213) 622-2639
(213) 624-8738
Mailing address
5650 JILLSON ST, STE 650, COMMERCE, CA 90040-1482
(213) 484-1186
(213) 413-3443

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
950001280
CA

Other

Enumeration date
12/11/2007
Last updated
10/16/2013
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