Organization
LUKE R WATSON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE R WATSON MD (MED DIRECTOR)
(562) 997-2232
Entity
Organization
Contact information
Practice address
2776 PACIFIC AVE, LONG BEACH, CA 90806
(562) 997-2232
(562) 997-2238
Mailing address
5856 CORPORATE AVE, SUITE 200, CYPRESS, CA 90630
(714) 236-4000
(714) 236-4006
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G603830
—
CA
Enumeration date
11/20/2006
Last updated
08/22/2020
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