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Blake Watts
Ambulatory Surgical Clinic/Center in Manhattan Beach, California
NPI 1740554120

Blake Watts is an Ambulatory Surgical Clinic/Center based in Manhattan Beach, CA and is specialized in Ambulatory Surgical. Blake Watts practices in Manhattan Beach, CA. The NPI Number for Blake Watts is 1740554120 and holds a License No. 18112 (California).

The current practice location address for Blake Watts is 4123 Crest Dr, Manhattan Beach, CA and can be reached out via phone at 858-922-3145.

Location: 4123 Crest Dr, Manhattan Beach, CA, 90266-3068
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740554120
Provider Name
Blake Watts
Credential
Provider Entity Type
Organization
Address
4123 Crest Dr, Manhattan Beach, CA, 90266-3068
Phone Number
858-922-3145
Fax Number
Provider Enumeration Date
03/01/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4123 Crest Dr
City
Manhattan Beach
State
California
Zip
90266-3068
Phone Number
858-922-3145
Fax Number
person
Provider Business Mailing Address Details
Address
4123 Crest Dr
City
Manhattan Beach
State
California
Zip
90266-3068
Phone Number
858-922-3145
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
18112 (California)
Definition
Definition to come...
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