Organization
JWCH INSTITUTE, INC
Active
Other names
JWCH Medical Clinic @ Charles Cobb
Organization subpart
No
Provider details
NPI number
Authorized official
ALVARO P BALLESTEROS (CHIEF EXECUTIVE OFFICER)
(323) 201-4516
Entity
Organization
Contact information
Practice address
521 S SAN PEDRO ST, LOS ANGELES, CA 90013-2148
(213) 353-1118
Mailing address
5650 JILLSON ST, COMMERCE, CA 90040-1482
(323) 201-4516
(323) 215-0228
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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