Blue Wave Surgical Center, Inc
Blue Wave Surgical Center, Inc is a Family Medicine Physician in Lomita, California. Licensed in California. Registered with an NPI since 2012.
- Licensed in
- CA
- In the registry since
- 2012
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
25043 Narbonne Ave # ALomita, CA 90717-2101
Phone: (818) 986-9918
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence A54193 (CA) |
|---|
Record details
| NPI number | 1770840100 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alexander Sorokurs — President · (310) 622-5369 |
| NPI enumerated | April 23, 2012 |
| Last updated in NPPES | April 23, 2012 |
| Mailing address | 4910 Van Nuys Blvd Ste 306, Sherman Oaks, CA 91403-1770 |
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