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WATERSIDE HEALTHCARE SERVICES INC
NPI 1922876895
Nurse Practitioner - Psychiatric/Mental Health in Carson, CA

Active since December 19, 2023
21880 ORRICK AVE, CARSON, CA 90745(310) 927-2119 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Waterside Healthcare Services Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WATERSIDE HEALTHCARE SERVICES INC (NPI 1922876895) is a healthcare organization registered as a psychiatric/mental health in Carson, California and active in the NPI registry since December 2023. The organization lists Taiwo Odukoya Odutola, Np, as its authorized official.

NPPES Registry Identity

NPI1922876895
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameWATERSIDE HEALTHCARE SERVICES INC
Location Address21880 ORRICK AVECarson, CA 90745-3052
Mailing Address21880 Orrick AveCarson, CA 90745-3052 · (310) 927-2119
Phone(310) 927-2119
Organization SubpartNo
Authorized OfficialTaiwo Odukoya OdutolaNp · (310) 927-2119
Enumeration DateDecember 19, 2023
NPPES CertifiedDecember 19, 2023
✔ NPI 1922876895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
21880 ORRICK AVE, Carson, CA 90745
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Other Names 1

Doing Business AsWaterside Healthcare Services Inc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAIWO ODUKOYA ODUTOLA OWNER
Nurse Practitioner (Psychiatric/Mental Health)
21880 ORRICK AVE
CARSON, CA 90745
Los Angeles County (310) 927-2119

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Waterside Healthcare Services Inc's NPI number?

The NPI number for Waterside Healthcare Services Inc is 1922876895. It was assigned to this organization in the NPPES registry on December 19, 2023.

Where is Waterside Healthcare Services Inc located?

Waterside Healthcare Services Inc is located at 21880 Orrick Ave, Carson, CA 90745. The listed phone number is (310) 927-2119.

What is Waterside Healthcare Services Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Waterside Healthcare Services Inc was last updated on December 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.