Individual
JAMES PAUL WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26585 AGOURA RD, CALABASAS, CA 91302-1958
(310) 825-5510
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G79375
CA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
G79375
CA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
G79375
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
G79375
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G793750
MEDI-CAL PPIN #
CA
Enumeration date
07/31/2006
Last updated
09/29/2020
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