Watanabe, Garrett L.

Watanabe, Garrett L. is an individual health care provider with primary practice located at 20380 Town Center Ln Suite 215, Cupertino CA 95014-3210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Watanabe, Garrett L. can be contacted via phone (408) 996-7950.

Contact Information

Primary practice address
20380 Town Center Ln Suite 215 Cupertino CA 95014-3210
Phone: (408) 996-7950
Fax: (408) 996-7997
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X A74445 California

Profile Details

NPI number 1851477376
LBN Legal business name Watanabe, Garrett L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jul 12th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851477376 NPPES
California MEDICAID 00A744450

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