NPI | 1679130439 |
---|---|
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) |
Enumeration Date | 2019-05-28 |
Last Update Date | 2019-06-03 |