Organization
JWCH INSTITUTE, INC.
Active
Organization
JWCH INSTITUTE, INC.
Active
Other names
Wesley Health Centers - Mobile Health Clinic II
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALVARO P BALLESTEROS (CHIEF EXECUTIVE OFFICER)
(323) 201-4516
Entity
Organization
Contact information
Practice address
45104 10TH ST W, LANCASTER, CA 93534-2310
(661) 942-2391
Mailing address
5650 JILLSON ST, COMMERCE, CA 90040-1482
(323) 201-4516
(323) 215-0228
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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