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JWCH INSTITUTE INC NPI 1831560028


NPI Information

NPI: 1831560028
Provider Name: JWCH INSTITUTE, INC

Doing Business As: JWCH MEDICAL CLINIC (DWC)

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 05D2019226

Address:
442 S SAN PEDRO ST
LOS ANGELES, CA
ZIP 90013
Phone: (213) 223-2900
Get Directions

JWCH INSTITUTE, INC is a clinic center in Los Angeles, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). JWCH INSTITUTE, INC NPI is 1831560028. The provider is registered as an organization entity type.
The provider Is Doing Business As Jwch Medical Clinic (dwc).

The provider's business location address is:

442 S SAN PEDRO ST
LOS ANGELES, CA
ZIP 90013-132
Phone: (213) 223-2900
Fax: (213) 613-1884

The provider's authorized official is Alvaro 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 05D2019226 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/13/2015 and was last updated on 5/16/2016.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterCALIFORNIAYes

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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