05D2258471 CLIA NUMBER - WAVE MEDICAL GROUP INC

Laboratory Demographics

CLIA Number: 05D2258471

Facility Name: WAVE MEDICAL GROUP INC

Facility Address:
720 PAULARINO STE 102
COSTA MESA, CA
ZIP 92626
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Facility Phone Number: 213 383-4800

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1306328265

Taxonomy: 208600000X - Surgery
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

CLIA Record

Field Name	Field Value
CLIA Number	05D2258471
LAB Type	Physician Office
Facility Name	WAVE MEDICAL GROUP INC
Street	720 PAULARINO STE 102
City	COSTA MESA
State	CA
ZIP	92626
Phone	213 383-4800
CertificateType	2
CertificateEffectiveDate	4/21/2022
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024