JWCH INSTITUTE INC NPI 1568919108

NPI Information

JWCH INSTITUTE, INC is a community health clinic center in Los Angeles, CA. JWCH INSTITUTE, INC NPI is 1568919108. The provider is registered as an organization entity type.
The provider Is Doing Business As Wesley Health Centers (pathways).

The provider's business location address is:

3804 BROADWAY PL
LOS ANGELES, CA
ZIP 90037-414
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 05D0907818 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2016 and was last updated on 9/1/2016.

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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