| Jwch Institute, Inc. Medical Clinic Weingart Center | |
|
522 S San Pedro St Los Angeles CA 90013-2102 | |
| (213) 353-1118 | |
| Not Available |
| Full Name | Jwch Institute, Inc. Medical Clinic Weingart Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 522 S San Pedro St, Los Angeles, California |
| Authorized Official Name and Position | Alvaro P Ballesteros (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3232014516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jwch Institute, Inc. Medical Clinic Weingart Center 5650 Jillson St Commerce CA 90040-1482 Ph: (323) 201-4516 | Jwch Institute, Inc. Medical Clinic Weingart Center 522 S San Pedro St Los Angeles CA 90013-2102 Ph: (213) 353-1118 |
| NPI Number | 1407416399 |
|---|---|
| Provider Enumeration Date | 06/13/2019 |
| Last Update Date | 12/12/2019 |
| Certification Date | 12/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407416399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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