NPI | 1629251897 |
---|---|
Doing Business As | JWCH INSTITUTE INC MEDICAL CLINIC WEINGART CENTER |
Entity Type | Organization |
Authorized Contact | ALVARO P. BALLESTEROS Chief Executive Officer 213-484-1186 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 950001280) |
Enumeration Date | 2007-12-11 |
Last Update Date | 2013-10-16 |