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

Waterside Healthcare Services Inc

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1922876895

Waterside Healthcare Services Inc is a Psychiatric/Mental Health Nurse Practitioner in Carson, California. Registered with an NPI since 2023.

In the registry since
2023
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

21880 Orrick Ave
Carson, CA 90745-3052
Phone: (310) 927-2119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1922876895
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Taiwo Odutola — Np · (310) 927-2119
Other names Waterside Healthcare Services Inc
NPI enumeratedDecember 19, 2023
Last updated in NPPESDecember 19, 2023
Certification dateDecember 19, 2023
Mailing address21880 Orrick Ave, Carson, CA 90745-3052

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