Provider Type Icon

WATSON MEDICAL INC NPI 1831301845


NPI Information

NPI: 1831301845
Provider Name: WATSON MEDICAL INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D1024659

Address:
3201 WILSHIRE BLVD STE 211
SANTA MONICA, CA
ZIP 90403
Phone: (310) 315-9101
Get Directions

WATSON MEDICAL INC is a family medicine in Santa Monica, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WATSON MEDICAL INC NPI is 1831301845. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3201 WILSHIRE BLVD STE 211
SANTA MONICA, CA
ZIP 90403-337
Phone: (310) 315-9101
Fax: (310) 829-9860

The provider's authorized official is Cynthia M Watson .
The authorized official title is Owner and has the following contact phone number (310) 315-9101.

The CLIA number assigned to this NPI record is 05D1024659 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 10/4/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineG52886CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D71807MEDICARE UPINCALIFORNIA
2G52886MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.