Individual
ANDREW DAUGHERTY WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 UCLA MEDICAL PLAZA SUITE 545, LOS ANGELES, CA 90095-2202
(310) 825-9011
(310) 267-5779
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A79605
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0014100
—
CA
Enumeration date
07/20/2006
Last updated
02/11/2020
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