Organization · Type 2 NPI

JWCH Institute Inc

Federally Qualified Health Center (FQHC) · Los Angeles, CA

NPI number 1407808058 Active

Practice location

522 S San Pedro St
Los Angeles, CA 90013-2102

Fax (213) 624-8738

Mailing address

5650 Jillson St
Commerce, CA 90040-1482

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Supports Brokerage Agency 251X00000XNone listed
Community Health Clinic/Center 261QC1500XNone listed
Dental Clinic/Center 261QD0000X950001280 (CA)
Federally Qualified Health Center (FQHC) Primary 261QF0400X950001280 (CA)

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1407808058

JWCH Institute Inc's National Provider Identifier is 1407808058, issued on May 16, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 22, 2022.