WAVE PLASTIC SURGERY CENTER NPI 1720230840

NPI Information

  • NPI: 1720230840
  • Provider Name: WAVE PLASTIC SURGERY CENTER
  • Classification: Special Hospital - 284300000X
  • Entity Type: Organization
  • Doing Business As: WAVE PLASTIC SURGERY & LASER CENTER
  • CLIA Number: 05D2159809
  • Address: 3680 WILSHIRE BLVD STE 202
    LOS ANGELES, CA
    ZIP 90010
  • Phone: (213) 383-4800

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 3/30/2025

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