NPI | 1386708634 |
---|---|
Doing Business As | JWCH NORWALK REGIONAL HTH CTR |
Entity Type | Organization |
Authorized Contact | ALVARO P. BALLESTEROS Chief Executive Officer 323-201-4516 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550000250) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
251X00000X | |
261Q00000X Clinic/Center (Licence: CA 550000250) | |
Enumeration Date | 2006-12-21 |
Last Update Date | 2022-02-01 |