NPI | 1659003127 |
---|---|
Doing Business As | WESLEY HEALTH CENTERS - ZONAL AVE |
Entity Type | Organization |
Authorized Contact | ALVARO PROSPERO BALLESTEROS Chief Executive Officer 323-201-4516 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-06-24 |
Last Update Date | 2022-12-05 |