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JWCH INSTITUTE INC. NPI 1598829350


NPI Information

NPI: 1598829350
Provider Name: JWCH INSTITUTE, INC.

Doing Business As: WESLEY HEALTH CENTERS (VERMONT)

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
954 N VERMONT
LOS ANGELES, CA
ZIP 90029
Phone: (323) 201-4516
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JWCH INSTITUTE, INC. is a federally qualified health center (fqhc) clinic center in Los Angeles, CA. JWCH INSTITUTE, INC. NPI is 1598829350. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wesley Health Centers (vermont).

The provider's business location address is:

954 N VERMONT
LOS ANGELES, CA
ZIP 90029-529
Phone: (323) 201-4516

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 enumeration date for this NPI number is 12/19/2006 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
3261Q00000XClinic/Center960001445CALIFORNIANo
4261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)960001445CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CMM71047FMEDICAIDCALIFORNIA

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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