Organization
JWCH INSTITUTE INC
Active
Other names
Wesley Health Centers- Crocker Care Campus
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALVARO PROSPERO BALLESTEROS (CHIEF EXECUTIVE OFFICER)
(323) 201-4516
Entity
Organization
Contact information
Practice address
5650 JILLSON ST, COMMERCE, CA 90040-1482
(323) 201-4516
Mailing address
5650 JILLSON ST, COMMERCE, CA 90040-1482
(323) 201-4516
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251X00000X
Supports Brokerage Agency
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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