JWCH INSTITUTE INC. NPI 1346423787

NPI Information

NPI: 1346423787
Provider Name: JWCH INSTITUTE, INC.

Doing Business As: WESLEY HEALTH CENTER (LYNWOOD)

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
3591 E IMPERIAL HWY
LYNWOOD, CA
ZIP 90262
Phone: (310) 223-1035
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JWCH INSTITUTE, INC. is a community health clinic center in Lynwood, CA. JWCH INSTITUTE, INC. NPI is 1346423787. The provider is registered as an organization entity type.
The provider Is Doing Business As Wesley Health Center (lynwood).

The provider's business location address is:

3591 E IMPERIAL HWY
LYNWOOD, CA
ZIP 90262-654
Phone: (310) 223-1035
Fax: (310) 638-9080

The provider's authorized official is Alvaro P. Ballesteros .
The authorized official title is Chief Executive Officer and has the following contact phone number (323) 201-4516.

The CLIA number assigned to this NPI record is 05D2109296 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/7/2007 and was last updated on 5/18/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health	960000791	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	EAP70521F	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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