Organization
WESLEY HEALTH CENTERS - MICHAEL ANTONOVICH DENTAL CLINIC
Active
Organization
WESLEY HEALTH CENTERS - MICHAEL ANTONOVICH DENTAL CLINIC
Active
Parent organization
JWCH INSTITUTE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
JWCH INSTITUTE, INC.
Authorized official
ALVARO BALLESTEROS (CHIEF EXECUTIVE OFFICER)
(323) 201-4516
Entity
Organization
Contact information
Practice address
1845 N FAIR OAKS AVE STE 1101, PASADENA, CA 91103-1620
(562) 867-7999
(323) 215-0170
Mailing address
5650 JILLSON ST, COMMERCE, CA 90040-1482
(323) 201-4516
(323) 215-0170
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
CA
Other
Enumeration date
12/14/2015
Last updated
09/03/2021
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