NPI | 1710610324 |
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Doing Business As | WESLEY HEALTH CENTERS - SAN JULIAN OASIS |
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 | 2022-07-01 |
Last Update Date | 2022-12-05 |