| Wesley Health Centers - Norwalk Annex | |
|
12340 Firestone Blvd Norwalk CA 90650-4316 | |
| (323) 201-4516 | |
| Not Available |
| Full Name | Wesley Health Centers - Norwalk Annex |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 12340 Firestone Blvd, Norwalk, California |
| Authorized Official Name and Position | Alvaro Prospero Ballesteros (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3232014516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wesley Health Centers - Norwalk Annex 5650 Jillson St Commerce CA 90040-1482 Ph: (323) 201-4516 | Wesley Health Centers - Norwalk Annex 12340 Firestone Blvd Norwalk CA 90650-4316 Ph: (323) 201-4516 |
| NPI Number | 1912727439 |
|---|---|
| Provider Enumeration Date | 10/10/2024 |
| Last Update Date | 08/04/2025 |
| Certification Date | 08/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912727439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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