Wesley Health Centers - Michael Antonovich Dental Clinic
Wesley Health Centers - Michael Antonovich Dental Clinic is a Community Health Clinic/Center in Pasadena, California. Licensed in California. Registered with an NPI since 2015.
- Licensed in
- CA
- In the registry since
- 2015
Practice location Address checks out
1845 N Fair Oaks Ave Ste 1101Pasadena, CA 91103-1620
Phone: (562) 867-7999
Fax: (323) 215-0170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Clinic/Center (primary) | Taxonomy 261QC1500X (CA) |
|---|
Record details
| NPI number | 1801261011 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Jwch Institute, Inc |
| Authorized official | Alvaro Ballesteros — Chief Executive Officer · (323) 201-4516 |
| NPI enumerated | December 14, 2015 |
| Last updated in NPPES | September 3, 2021 |
| Certification date | September 3, 2021 |
| Mailing address | 5650 Jillson St, Commerce, CA 90040-1482 |
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