| Jwch Institute Inc Medical Clinic Weingart Center | |
|
522 S San Pedro St Los Angeles CA 90013-2102 | |
| (213) 622-2639 | |
| (213) 624-8738 |
| Full Name | Jwch Institute Inc Medical Clinic Weingart Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 522 S San Pedro St, Los Angeles, California |
| Authorized Official Name and Position | Alvaro P. Ballesteros (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2134841186 |
| 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 Ste 650 Commerce CA 90040-1482 Ph: (213) 484-1186 | Jwch Institute Inc Medical Clinic Weingart Center 522 S San Pedro St Los Angeles CA 90013-2102 Ph: (213) 622-2639 |
| NPI Number | 1629251897 |
|---|---|
| Provider Enumeration Date | 12/11/2007 |
| Last Update Date | 10/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629251897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 950001280 (California) | Primary |
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