Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | DC28869 | CA |
Y | 111NR0200X | Radiology | DC28869 | CA |
Y | 213ER0200X | Radiology | DC28869 | CA |
NPI | 1720153307 |
---|---|
Provider Name | Dr. Christopher T. Watkins |
First Address | La Habra Heights, CA 90631-8413 |
Second Address | La Habra Heights, CA 90631-8413 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 03/03/2009 |