| Organization Name: | JWCH INSTITUTE, INC. |
| NPI Number: | 1124182977 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALVARO P. BALLESTEROS (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 3591 E Imperial Hwy Lynwood |
| State: | CA US |
| Postal Code: | 902622684 |
| Phone Number: | 3102231035 |
| Fax Number: | 3106389080 |
| NPI Enumeration Date: | 12/19/2006 |
| NPI Last Update Date: | 05/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | 960000791 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |