WATTS HEALTHCARE CORPORATION NPI 1376681486

NPI Information

NPI: 1376681486
Provider Name: WATTS HEALTHCARE CORPORATION

Doing Business As: JORDAN WELLNESS CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
10300 COMPTON AVE
LOS ANGELES, CA
ZIP 90002
Phone: (323) 357-6680
Get Directions

WATTS HEALTHCARE CORPORATION is a federally qualified health center (fqhc) clinic center in Los Angeles, CA. WATTS HEALTHCARE CORPORATION NPI is 1376681486. The provider is registered as an organization entity type.
The provider Is Doing Business As Jordan Wellness Center.

The provider's business location address is:

10300 COMPTON AVE
LOS ANGELES, CA
ZIP 90002-628
Phone: (323) 357-6680
Fax: (323) 563-6378

The provider's authorized official is William D. Hobson .
The authorized official title is President & Ceo and has the following contact phone number (323) 568-4417.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 9/12/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	96000449	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	551970	MEDICARE PIN	CALIFORNIA
2	FHC70422G	MEDICAID	CALIFORNIA

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: 4/28/2024

NPI Synchronization or Removal

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