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Contact Information

MRIDULA B WATT
9675 BRIGHTON WAY STE 100
BEVERLY HILLS, CA90210
 Phone: 310-205-7310
 Fax: 310-205-7319
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MRIDULA B WATT · (Female)

NPI Number 1144484973
Status Active
Credentials
Entity Individual
Enumeration date 07/10/2008
Last updated 09/17/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A110073
  • CA Medicaid 1144484973
Hospital affiliation(s)
  • RONALD REAGAN UCLA MEDICAL CENTER - (Acute Care)
    757 WESTWOOD PLAZA
    LOS ANGELES, CA 90095
  • SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL - (Acute Care)
    1250 16TH STREET
    SANTA MONICA, CA 90404
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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