institution
Watts Healthcare Corporation
Federally Qualified Health Center (FQHC) in Los Angeles, California
NPI 1104246362

Watts Healthcare Corporation is a Federally Qualified Health Center (FQHC) based in Los Angeles, CA and is specialized in Federally Qualified Health Center (FQHC). Watts Healthcare Corporation practices in Los Angeles, CA. The NPI Number for Watts Healthcare Corporation is 1104246362 and holds a License No. 550002583 (California).

The current practice location address for Watts Healthcare Corporation is 316 E 111Th St, Los Angeles, CA and can be reached out via phone at 323-568-3093.

Location: 316 E 111Th St, Los Angeles, CA, 90002-3628
institution
Provider Profile Details
NPI Number
1104246362
Provider Name
Watts Healthcare Corporation
Credential
Provider Entity Type
Organization
Address
316 E 111Th St, Los Angeles, CA, 90002-3628
Phone Number
323-568-3093
Fax Number
Provider Enumeration Date
04/25/2014
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1104246362 05 CA
1477649119 05 CA
institution
Provider Business Practice Location Address Details
Address
316 E 111Th St
City
State
Zip
90061-3004
Phone Number
323-568-3093
Fax Number
person
Provider Business Mailing Address Details
Address
316 E 111Th St
City
State
Zip
90061-3004
Phone Number
323-568-3093
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
550002583 (California)
Definition
Definition to come...
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