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JWCH INSTITUTE INC NPI 1144685819


NPI Information

NPI: 1144685819
Provider Name: JWCH INSTITUTE, INC

Doing Business As: WESLEY HEALTH CENTERS AT ANDREW ESCAJEDA

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

Specialization: Community Health

CLIA Number: 05D2121129

Address:
1845 N FAIR OAKS AVE
G-151
PASADENA, CA
ZIP 91103
Phone: (562) 867-7999
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JWCH INSTITUTE, INC is a community health clinic center in Pasadena, CA. JWCH INSTITUTE, INC NPI is 1144685819. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wesley Health Centers At Andrew Escajeda.

The provider's business location address is:

1845 N FAIR OAKS AVE
G-151
PASADENA, CA
ZIP 91103-620
Phone: (562) 867-7999
Fax: (323) 215-0170

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 05D2121129 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/23/2015 and was last updated on 2/1/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171M00000XCase Manager/Care CoordinatorNo
2251X00000XSupports BrokerageNo
3261QC1500XClinic/CenterCommunity HealthCALIFORNIAYes

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: 4/28/2024

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