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WATTS HEALTHCARE CORPORATION NPI 1477649119


NPI Information

NPI: 1477649119
Provider Name: WATTS HEALTHCARE CORPORATION

Doing Business As: WATTS HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
10300 COMPTON AVENUE
LOS ANGELES, CA
ZIP 90002
Phone: (323) 357-6684
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WATTS HEALTHCARE CORPORATION is a federally qualified health center (fqhc) clinic center in Los Angeles, CA. WATTS HEALTHCARE CORPORATION NPI is 1477649119. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Watts Health Center.

The provider's business location address is:

10300 COMPTON AVENUE
LOS ANGELES, CA
ZIP 90002
Phone: (323) 357-6684

The provider's authorized official is Michael Johnson .
The authorized official title is President & Ceo and has the following contact phone number (323) 564-4331.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 6/29/2022.


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
1171M00000XCase Manager/Care CoordinatorNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1EAP12124GMEDICAIDCALIFORNIA
2HAP70422GMEDICAIDCALIFORNIA
3HAP70874GMEDICAIDCALIFORNIA
4BCP70874GMEDICAIDCALIFORNIA
5FHC70874GMEDICAIDCALIFORNIA
6W16988AMEDICAIDCALIFORNIA
7FHC12124GMEDICAIDCALIFORNIA
8BCP12124GMEDICAIDCALIFORNIA
9FHC70422GMEDICAIDCALIFORNIA
10HAP12124GMEDICAIDCALIFORNIA

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

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