Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Prevost Healthcare Enterprises Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1619965357

Prevost Healthcare Enterprises Inc is a Durable Medical Equipment & Medical Supplies in Los Angeles, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9909 Compton Ave
Los Angeles, CA 90002-2850
Phone: (323) 564-3218
Fax: (323) 564-4064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHY37108 (CA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence PHA371080 (CA)

Record details

NPI number1619965357
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Walter Prevost — Pharmacist Ceo · (323) 564-3218
Other names Watts Professional Pharmacy
NPI enumeratedOctober 6, 2005
Last updated in NPPESMarch 10, 2011
Mailing address16709 Amberwood Way, Cerritos, CA 90703-1190

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