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Organization

WATTS HEALTHCARE CORPORATION

Active
Parent organization
WATTS HEALTHCARE CORPORATION
Other names
CRENSHAW COMMUNITY HEALTH CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
WATTS HEALTHCARE CORPORATION
Authorized official
MR. WILLIAM HOBSON JR. (CHIEF EXECUTIVE OFFICER)
(323) 568-4417
Entity
Organization

Contact information

Practice address
3756 SANTA ROSALIA DR, SUITE 400, LOS ANGELES, CA 90008-3606
(323) 357-6684
Mailing address
10300 COMPTON AVE, LOS ANGELES, CA 90002-3628
(323) 568-4417
(323) 563-6378

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
9600013
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
FHC70874G
CA
Enumeration date
02/05/2007
Last updated
09/13/2013
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