Organization · Type 2 NPI

Blue Wave Surgical Center, Inc.

Family Medicine Physician · Lomita, CA

NPI number 1770840100 Active

Practice location

25043 Narbonne Ave # A
Lomita, CA 90717-2101

Mailing address

4910 Van Nuys Blvd Ste 306
Sherman Oaks, CA 91403-1770

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XA54193 (CA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1770840100

Blue Wave Surgical Center, Inc.'s National Provider Identifier is 1770840100, issued on Apr 23, 2012. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Lomita, CA. The record was last updated on Apr 23, 2012.