Organization
JWCH INSTITUTE, INC
Active
Other names
Wesley Health Centers (Downey)
Organization subpart
No
Provider details
NPI number
Authorized official
ALVARO BALLESTEROS (CHIEF EXECUTIVE OFFICER)
(323) 201-4516
Entity
Organization
Contact information
Practice address
8530 FIRESTONE BLVD, DOWNEY, CA 90241-4926
(323) 562-5813
Mailing address
5650 JILLSON ST, COMMERCE, CA 90040-1482
(323) 201-4516
(323) 215-0170
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251X00000X
Supports Brokerage Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
550003026
CA
Other
Enumeration date
10/27/2014
Last updated
03/23/2022
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