WAVE IMAGING LLC NPI 1093149197

NPI Information

NPI: 1093149197
Provider Name: WAVE IMAGING, LLC

Doing Business As: MEMORIALCARE IMAGING CENTER-LAGUNA NIGUEL

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
25500 RANCHO NIGUEL RD
SUITE 120
LAGUNA NIGUEL, CA
ZIP 92677
Phone: (949) 362-3973
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WAVE IMAGING, LLC is a radiology clinic center in Laguna Niguel, CA. WAVE IMAGING, LLC NPI is 1093149197. The provider is registered as an organization entity type.
The provider Is Doing Business As Memorialcare Imaging Center-laguna Niguel.

The provider's business location address is:

25500 RANCHO NIGUEL RD
SUITE 120
LAGUNA NIGUEL, CA
ZIP 92677-302
Phone: (949) 362-3973
Fax: (949) 362-3977

The provider's authorized official is Mark D Schafer .
The authorized official title is Manager and has the following contact phone number (657) 241-3500.

The enumeration date for this NPI number is 8/26/2013 and was last updated on 2/9/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CB206287	MEDICARE PIN	CALIFORNIA

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: 5/5/2024

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