Individual
HIWOT WATIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 16TH ST, SANTA MONICA, CA 90404-1249
(424) 259-9457
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
95000635
CA
363L00000X
Nurse Practitioner
Primary
95000635
CA
Other
Enumeration date
06/04/2014
Last updated
11/20/2025
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