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WAVE PLASTIC SURGERY CENTER NPI 1720230840


NPI Information

NPI: 1720230840
Provider Name: WAVE PLASTIC SURGERY CENTER

Doing Business As: WAVE PLASTIC SURGERY & LASER CENTER

Classification: Special Hospital - 284300000X
Entity Type: Organization

CLIA Number: 05D2159809

Address:
3680 WILSHIRE BLVD STE 202
LOS ANGELES, CA
ZIP 90010
Phone: (213) 383-4800
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WAVE PLASTIC SURGERY CENTER is a special hospital in Los Angeles, CA. The provider is a designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. WAVE PLASTIC SURGERY CENTER NPI is 1720230840. The provider is registered as an organization entity type.
The provider Is Doing Business As Wave Plastic Surgery & Laser Center.

The provider's business location address is:

3680 WILSHIRE BLVD STE 202
LOS ANGELES, CA
ZIP 90010-709
Phone: (213) 383-4800
Fax: (213) 674-2827

The provider's authorized official is Peter G. Lee .
The authorized official title is Plastic Surgeon and has the following contact phone number (213) 383-4800.

The CLIA number assigned to this NPI record is 05D2159809 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/21/2008 and was last updated on 5/5/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1284300000XSpecial HospitalG84673CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.