Organization · Type 2 NPI
Wave Imaging LLC
Radiology Clinic/Center · San Clemente, CA
NPI number
1891178273
Active
Practice location
675 Camino De Los Mares, Suite 101
San Clemente, CA 92673-2835
Mailing address
17360 Brookhurst St
Fountain Valley, CA 92708-3720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology Clinic/Center Primary | 261QR0200X | None listed |
Radiology Clinic/Center: Definition to come...
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- Renee Sue Pozza, PhD, RN, FNP-BC, CNSFamily Nurse Practitioner San Clemente, CA NPI 1275770661
Other radiology clinic/center providers in San Clemente
About NPI 1891178273
Wave Imaging LLC's National Provider Identifier is 1891178273, issued on Jul 3, 2015. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in San Clemente, CA. The record was last updated on Jul 3, 2015.