Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blue Wave Surgery Center, Inc

Organization Family Medicine Physician · NPI 1821362443

Blue Wave Surgery Center, Inc is a Family Medicine Physician in Sherman Oaks, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4910 Van Nuys Blvd Ste 306
Sherman Oaks, CA 91403-1770
Phone: (310) 622-5369
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence A54193 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence A54193 (CA)

Record details

NPI number1821362443
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBlue Wave Surgery Center, Inc
Authorized official Alexander Sorokurs — President · (310) 622-5369
NPI enumeratedFebruary 29, 2012
Last updated in NPPESApril 17, 2012
Mailing address4910 Van Nuys Blvd Ste 306, Sherman Oaks, CA 91403-1770

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