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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