Organization
JWCH INSTITUTE, INC
Active
Other names
JWCH Medical Clinic (DWC)
Organization subpart
No
Provider details
NPI number
Authorized official
ALVARO BALLESTEROS (CHIEF EXECUTIVE OFFICER)
(323) 201-4516
Entity
Organization
Contact information
Practice address
442 S SAN PEDRO ST, LOS ANGELES, CA 90013-2132
(213) 223-2900
(213) 613-1884
Mailing address
5650 JILLSON ST, COMMERCE, CA 90040-1482
(323) 201-4516
(323) 215-0170
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
CA
Other
Enumeration date
10/13/2015
Last updated
05/16/2016
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