| NPI | 1407808058 |
|---|---|
| Doing Business As | JWCH INSTITUTE INC MEDICAL CLINIC WEINGART CENTER |
| 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) (Licence: CA 950001280) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251X00000X | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QD0000X Clinic/Center, Dental (Licence: CA 950001280) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2022-06-22 |