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WAVE MEDICAL GROUP INC NPI 1306328265


NPI Information

NPI: 1306328265
Provider Name: WAVE MEDICAL GROUP INC
Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 05D2258471

Address:
720 PAULARINO AVE STE 200
COSTA MESA, CA
ZIP 92626
Phone: (213) 383-4800
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WAVE MEDICAL GROUP INC is a surgery in Costa Mesa, CA. The provider is 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. WAVE MEDICAL GROUP INC NPI is 1306328265. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

720 PAULARINO AVE STE 200
COSTA MESA, CA
ZIP 92626-917
Phone: (213) 383-4800

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

The CLIA number assigned to this NPI record is 05D2258471 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/6/2018 and was last updated on 9/6/2018.


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
1208600000XSurgeryYes

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: 4/28/2024

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