Organization
JWCH INSTITUTE, INC
Active
Organization
JWCH INSTITUTE, INC
Active
Other names
Wesley Health Centers-MLK Recuperative Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
AL BALLERSTEROS (CHIEF EXECUTIVE OFFICER)
(323) 201-4516
Entity
Organization
Contact information
Practice address
1670 E 120 STREET, WEST SUPPORT BLDG #14 FL 2, LOS ANGELES, CA 90059-3026
(323) 201-4516
Mailing address
5650 JILLSON ST, COMMERCE, CA 90040-1482
(323) 201-4516
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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