Organization
WATTS HEALTH CARE CORPORATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OMAR J KENYATTA SR. (BILLING MANAGER)
(323) 357-6684
Entity
Organization
Contact information
Practice address
10300 COMPTON AVE, LOS ANGELES, CA 90002-3628
(323) 564-4331
(323) 249-6786
Mailing address
10300 COMPTON AVE, LOS ANGELES, CA 90002-3628
(323) 564-4331
(323) 249-6786
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
960000216
CA
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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