Blake Watts
NPI #1740554120 in Manhattan Beach, California
Provider Information
- NPI Number
- 1740554120
- Entity Type
- Organization
- Organization Name
- Blake Watts
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Mar 1, 2012
- Last Updated
- Mar 1, 2012
Practice Location
- Address
- 4123 CREST DR
- City
- Manhattan Beach
- State
- California
- ZIP Code
- 90266-3068
- Phone
- (858) 922-3145
Authorized Official
- Name
- BLAKE WATTS, CPNP, RNFA
- Title
- ASSISTANT SURGEON
- Phone
- (858) 922-3145
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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