NPI | 1043304009 |
---|---|
Doing Business As | WESLEY HEALTH CENTERS |
Entity Type | Organization |
Authorized Contact | ALVARO P. BALLESTEROS Chief Executive Officer 323-201-4516 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2022-07-25 |