Blake Watts
Blake Watts is an Ambulatory Surgical Clinic/Center in Manhattan Beach, California. Licensed in California. Registered with an NPI since 2012.
- Licensed in
- CA
- In the registry since
- 2012
Practice location Address checks out
4123 Crest DrManhattan Beach, CA 90266-3068
Phone: (858) 922-3145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence 18112 (CA) |
|---|
Record details
| NPI number | 1740554120 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Blake Watts — Assistant Surgeon · (858) 922-3145 |
| NPI enumerated | March 1, 2012 |
| Last updated in NPPES | March 1, 2012 |
| Mailing address | 4123 Crest Dr, Manhattan Beach, CA 90266-3068 |
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