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

Wave Wellness Clinic Professional Corporation

Organization Primary Care Clinic/Center · NPI 1417774399

Wave Wellness Clinic Professional Corporation is a Primary Care Clinic/Center in Encinitas, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

4407 Manchester Ave Ste 101
Encinitas, CA 92024-4941
Phone: (760) 652-6800
Fax: (760) 274-6165
Show map & directions

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

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1417774399
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emma Dorantes — Office Manager · (760) 458-7539
NPI enumeratedSeptember 23, 2024
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024
Mailing address4401 Manchester Ave Ste 106, Encinitas, CA 92024-4938

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