Organization · Type 2 NPI

Blue Wave Surgery Center, Inc.

Ambulatory Surgical Clinic/Center · Sherman Oaks, CA

NPI number 1821362443 Active

Practice location

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

Call (310) 622-5369 Map

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XA54193 (CA)
Ambulatory Surgical Clinic/Center Primary 261QA1903XA54193 (CA)

Ambulatory Surgical Clinic/Center: Definition to come...

5 other providers at this address

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About NPI 1821362443

Blue Wave Surgery Center, Inc.'s National Provider Identifier is 1821362443, issued on Feb 29, 2012. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Sherman Oaks, CA. The record was last updated on Apr 17, 2012.