DR. BRUCE RICHARD WATKINS I


Address: 1314 Westwood Blvd, Suite 201, Los Angeles, CA 90024-4928
Phone: 3104755977

DR. BRUCE RICHARD WATKINS I (NPI# 1336432848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336432848
Entity Type Individual
Full Name DR. BRUCE RICHARD WATKINS I
Other Name BRUCE RICHARD WATKINS I
Credential PH.D.
Practice Address 1314 Westwood Blvd
Suite 201
Los Angeles
CA 90024-4928
Practice Telephone 3104755977
Mailing Telephone 3104755977
Enumeration Date 2011-05-17
Last Update Date 2011-05-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY4049 CA Behavioral Health & Social Service Providers

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Office Location

Street Address 1314 WESTWOOD BLVD
SUITE 201
City LOS ANGELES
State CA
Zip Code 90024-4928

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City LOS ANGELES
Zip Code 90024

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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