MEDICARE: MONIQUE YVONNE WATSON PHLEBOTOMIST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246RP1900X	Phlebotomy Technician	CPT02569459	CA

General Provider Information

NPI Number	:	1861323651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONIQUE YVONNE WATSON PHLEBOTOMIST

Provider Business Mailing Address
First Line	:	9047 FLORENCE AVE STE B
Second Line	:
City	:	DOWNEY
State	:	CA
Zip	:	90240-3400
Country	:	US
Telephone Number	:	562-623-5772
Fax Number	:	310-861-9090

Provider Business Practice Location Address
First Line	:	9047 FLORENCE AVE STE B
Second Line	:
City	:	DOWNEY
State	:	CA
Zip	:	90240-3400
Country	:	US
Telephone Number	:	562-623-5772
Fax Number	:	310-861-9090

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/28/2026

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