Organization
JWCH INSTITUTE, INC
Active
Other names
Wesley Health Centers - Lynwood High School, Wesley Health Centers (Lynwood Middle School)
Organization subpart
No
Provider details
NPI number
Authorized official
ALVARO P. BALLESTEROS (CHIEF EXECUTIVE OFFICER)
(323) 201-4516
Entity
Organization
Contact information
Practice address
12124 BULLIS RD STE B104, LYNWOOD, CA 90262-5106
(323) 201-4516
(323) 215-0170
Mailing address
5650 JILLSON STREET, COMMERCE, CA 90040-1482
(323) 201-4516
(323) 215-0170
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
01/06/2023
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