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General NPI Number Information
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NPI Number | 1477649119
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Entity Type | Organization
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Legal Business Name | WATTS HEALTHCARE CORPORATION
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 10300 COMPTON AVENUE
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City | LOS ANGELES
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State | CA
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Zip | 90002
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Country | US
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Telephone | 323-357-6684
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Fax |
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Provider Business Mailing Address
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Address Line | 10300 COMPTON AVE
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City | LOS ANGELES
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State | CA
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Zip | 90002-3628
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Country | US
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Telephone | 323-357-6684
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Fax |
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Authorized Official
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Title or Position | ACTING PRESIDENT & CEO
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Name | MR. BARRETT HATCHES
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Credential | PHD
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Telephone | 323-564-4331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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