Organization
WATTS HEALTHCARE CORPORATION
Active
Parent organization
WATTS HEALTHCARE CORPORATION
Other names
Jordan Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
WATTS HEALTHCARE CORPORATION
Authorized official
MR. WILLIAM D. HOBSON JR. (PRESIDENT & CEO)
(323) 568-4417
Entity
Organization
Contact information
Practice address
10300 COMPTON AVE, LOS ANGELES, CA 90002-3628
(323) 357-6680
(323) 563-6378
Mailing address
10110 JUNIPER STREET, LOS ANGELES, CA 90002
(323) 357-6680
(323) 563-6378
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
96000449
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC70422G
—
CA
Enumeration date
02/01/2007
Last updated
09/12/2013
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