Look up the most recent NPI and PECOS records

Reiko Watanabe

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

200 Ucla Medical Plz, Ste 550, Los Angeles, CA 90095-8344

PECOS Enrollment

Based on the most recent information from CMS, provider Reiko Watanabe does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 11:47 AM.

Profile Details

Provider ID
1811268725
Provider Type
Individual
Full Name
Watanabe, Reiko
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
1/24/2012
Last Updated
6/12/2012

Contact Information

Practice Location

200 Ucla Medical Plz, Ste 550, Los Angeles, CA 90095-8344

(310) 794-7074

Unlisted Fax

Mailing Location

200 Ucla Medical Plz, Ste 550, Los Angeles, CA 90095-8344

(310) 794-7074

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License NP 21175 California
Code 163W00000X	Description Registered Nurse Nursing Service Providers	License RN 694572 California
Code 363LA2200X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License A0811043 California

Reiko Watanabe

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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Ito, Chiharu

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Chen, Xiamei

Romero, Thanya Arely