Organization
JWCH INSTITUTE, INC
Active
Organization
JWCH INSTITUTE, INC
Active
Other names
Wesley Health Centers - San Julian Oasis
Organization subpart
No
Provider details
NPI number
Authorized official
ALVARO PROSPERO BALLESTEROS (CHIEF EXECUTIVE OFFICER)
(323) 201-4516
Entity
Organization
Contact information
Practice address
628 SAN JULIAN ST, LOS ANGELES, CA 90014-2412
(323) 201-4516
Mailing address
5650 JILLSON ST, COMMERCE, CA 90040-1482
(323) 201-4516
(323) 215-0228
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Enumeration date
07/01/2022
Last updated
12/05/2022
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