JWCH INSTITUTE INC. NPI 1245413699

NPI Information

JWCH INSTITUTE, INC. is a federally qualified health center (fqhc) clinic center in Los Angeles, CA. JWCH INSTITUTE, INC. NPI is 1245413699. The provider is registered as an organization entity type.
The provider Is Doing Business As Center For Community Health.

The provider's business location address is:

522 S SAN PEDRO ST
LOS ANGELES, CA
ZIP 90013-102
Phone: (213) 622-2639
Fax: (213) 624-8738

The provider's authorized official is Alvaro P. Ballesteros .
The authorized official title is Chief Executive Officer and has the following contact phone number (213) 484-1186.

The CLIA number assigned to this NPI record is 05D0970435 - community clinic 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 6/3/2019.

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:

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