| Jwch Institute Inc | |
|
45124 10th St W Lancaster CA 93534-2310 | |
| (866) 733-5924 | |
| Not Available |
| Full Name | Jwch Institute Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 45124 10th St W, Lancaster, California |
| Authorized Official Name and Position | Alvaro Prospero Ballesteros (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3232014516 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jwch Institute Inc 5650 Jillson St Commerce CA 90040-1482 Ph: (323) 201-4516 | Jwch Institute Inc 45124 10th St W Lancaster CA 93534-2310 Ph: (866) 733-5924 |
| NPI Number | 1073209177 |
|---|---|
| Provider Enumeration Date | 04/12/2023 |
| Last Update Date | 04/12/2023 |
| Medicare PECOS PAC ID | 1850394123 |
|---|---|
| Medicare Enrollment ID | O20230711002570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073209177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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