Organization · Type 2 NPI
Blake Watts
Ambulatory Surgical Clinic/Center · Manhattan Beach, CA
NPI number
1740554120
Active
Practice location
4123 Crest Dr
Manhattan Beach, CA 90266-3068
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 18112 (CA) |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1740554120
Blake Watts's National Provider Identifier is 1740554120, issued on Mar 1, 2012. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Manhattan Beach, CA. The record was last updated on Mar 1, 2012.