WATTS HEALTH CARE CORPORATION INC NPI 1861677650

NPI Information

WATTS HEALTH CARE CORPORATION, INC is a federally qualified health center (fqhc) clinic center in Los Angeles, CA. WATTS HEALTH CARE CORPORATION, INC NPI is 1861677650. The provider is registered as an organization entity type.

The provider's business location address is:

10300 COMPTON AVE
LOS ANGELES, CA
ZIP 90002-628
Phone: (323) 564-4331
Fax: (323) 249-6786

The provider's authorized official is Omar J Kenyatta .
The authorized official title is Billing Manager and has the following contact phone number (323) 357-6684.

The CLIA number assigned to this NPI record is 05D0949577 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/31/2007 and was last updated on 12/31/2007.

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:

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