Jordan Wellness Center
LBN: Watts Healthcare Corporation
Jordan Wellness Center is an health care organization with primary practice located at 10300 Compton Ave , Los Angeles CA 90002-3628. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
Watts Healthcare Corporation can be contacted via phone (323) 357-6680, or through Hobson, William D. via phone (323) 568-4417.
Contact Information
Primary practice address
10300 Compton Ave
Los Angeles CA 90002-3628
Phone: (323) 357-6680
Fax: (323) 563-6378
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 96000449 | California |
Profile Details
| NPI number | 1376681486 |
|---|---|
| LBN Legal business name | Watts Healthcare Corporation |
| DBA Doing business as | Jordan Wellness Center |
| Authorized official | Hobson, William D. |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Sep 12th, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376681486 | NPPES |
| California | MEDICAID | FHC70422G |
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