| NPI | 1831560028 |
|---|---|
| Doing Business As | JWCH MEDICAL CLINIC (DWC) |
| Entity Type | Organization |
| Authorized Contact | ALVARO BALLESTEROS Chief Executive Officer 323-201-4516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2016-05-16 |