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

La Mediwave Inc

Organization Pain Medicine Physician · NPI 1477861656

La Mediwave Inc is a Pain Medicine Physician in Los Angeles, California. Registered with an NPI since 2010.

In the registry since
2010
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

6200 Wilshire Blvd Ste 910
Los Angeles, CA 90048-5801
Phone: (323) 965-5088
Fax: (323) 965-1046
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X

Record details

NPI number1477861656
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gabriel Rubanenko — Owner · (323) 965-5088
NPI enumeratedSeptember 21, 2010
Last updated in NPPESSeptember 21, 2010
Mailing address6200 Wilshire Blvd, Suite 910, Los Angeles, CA 90048-5801

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