| Watts Health Care Corporation, Inc | |
|
10300 Compton Ave Los Angeles CA 90002-3628 | |
| (323) 564-4331 | |
| (323) 249-6786 |
| Full Name | Watts Health Care Corporation, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 10300 Compton Ave, Los Angeles, California |
| Authorized Official Name and Position | Omar J Kenyatta (BILLING MANAGER) |
| Authorized Official Contact | 3233576684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Watts Health Care Corporation, Inc 10300 Compton Ave Los Angeles CA 90002-3628 Ph: (323) 564-4331 | Watts Health Care Corporation, Inc 10300 Compton Ave Los Angeles CA 90002-3628 Ph: (323) 564-4331 |
| NPI Number | 1861677650 |
|---|---|
| Provider Enumeration Date | 12/31/2007 |
| Last Update Date | 12/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861677650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 960000216 (California) | Primary |
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