Organization
JWCH INSTITUTE INC.
Active
Organization
JWCH INSTITUTE INC.
Active
Other names
Wesley Health Centers (Lynwood 2)
Organization subpart
No
Provider details
NPI number
Authorized official
ALVARO BALLESTEROS (CEO)
(323) 201-4516
Entity
Organization
Contact information
Practice address
3580 E IMPERIAL HWY, LYNWOOD, CA 90262-2602
(310) 763-3078
Mailing address
5650 JILLSON ST, COMMERCE, CA 90040-1482
(323) 201-4516
(323) 215-0171
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
550002189
CA
Other
Enumeration date
10/17/2012
Last updated
11/12/2014
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