NPI: 1679130439
Provider Name: JWCH INSTITUTE INC.
Doing Business As: JWCH INSTITUTE, INC. MEDICAL CLINIC/WEINGART CENTER
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization
Specialization: Federally Qualified Health Center (FQHC)
Address:
522 S SAN PEDRO ST
LOS ANGELES, CA
ZIP 90013
Phone: (213) 622-2639
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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 1679130439. The provider is registered as an organization entity type.
The provider Is Doing Business As Jwch Institute, Inc. Medical Clinic/weingart Center.
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 (323) 201-4516.
The enumeration date for this NPI number is 5/28/2019 and was last updated on 6/3/2019.