Organization
JWCH INSTITUTE, INC.
Active
Parent organization
JWCH INSTITUTE, INC.
Other names
Bell Gardens Community Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
JWCH INSTITUTE, INC.
Authorized official
ALVARO P. BALLESTEROS (CHIEF EXECUTIVE OFFICER)
(323) 201-4516
Entity
Organization
Contact information
Practice address
6912 AJAX AVE, BELL GARDENS, CA 90201-4057
(323) 562-5813
(323) 326-1146
Mailing address
5650 JILLSON ST, COMMERCE, CA 90040-1482
(323) 201-4516
(323) 215-0170
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
550000019
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HAP71083F
—
CA
Enumeration date
12/11/2007
Last updated
05/18/2015
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