Doctor Name: | DR. DAENA SARAH WATCHA |
NPI Number: | 1023422730 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD, MS |
License Number: | |
Business Practice Address: | 1000 W Carson St Torrance, CA - 905022004 |
Business Phone Number: | 3102223501 |
Business Fax Number: | 3107821763 |
Mailing Address: | 21010 Anza Ave, Apt 27 TORRANCE |
State: | CA |
Postal Code: | 905034213 |
Phone Number: | 6503874000 |
Fax Number: | 3107821763 |
NPI Enumeration Date: | 06/20/2014 |
NPI Last Update Date: | 06/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |