| NPI | 1689135816 |
|---|---|
| Doing Business As | WESLEY HEALTH CENTERS - MOBILE HEALTH CLINIC II |
| Entity Type | Organization |
| Authorized Contact | ALVARO P BALLESTEROS Chief Executive Officer 323-201-4516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2019-03-29 |