Organization · Type 2 NPI

Watts Healthcare Corporation

Federally Qualified Health Center (FQHC) · Los Angeles, CA

NPI number 1104246362 Active

Practice location

316 E 111th St
Los Angeles, CA 90061-3004

Call (323) 568-3093 Map

Mailing address

10300 Compton Ave
Los Angeles, CA 90002-3628

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	550002583 (CA)

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

University Muslim Medical Association IncFederally Qualified Health Center (FQHC) Los Angeles, CA NPI 1023831450

Other federally qualified health center (fqhc) providers in Los Angeles

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NPI record

NPI: 1104246362
Entity type: Organization (Type 2)
Issued: Apr 25, 2014
Last updated: May 23, 2023
Status: Active
Subpart: Yes of Watts Healthcare Corporation

Other names

<unavail>
Locke Wellness Center · doing business as
Locke Wellness Center · doing business as

Authorized official

David Brumlage
Assistant Controller
(323) 564-4331

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About NPI 1104246362

Watts Healthcare Corporation's National Provider Identifier is 1104246362, issued on Apr 25, 2014. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Los Angeles, CA. The record was last updated on May 23, 2023.