WAVE IMAGING LLC NPI 1891178273

NPI Information

  • NPI: 1891178273
  • Provider Name: WAVE IMAGING LLC
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • Doing Business As: MEMORIALCARE IMAGING CENTER-SAN CLEMENTE
  • Address: 675 CAMINO DE LOS MARES
    SUITE 101
    SAN CLEMENTE, CA
    ZIP 92673
  • Phone: (949) 493-8799

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NPI Details

WAVE IMAGING LLC is a radiology clinic center in San Clemente, CA. WAVE IMAGING LLC NPI is 1891178273. The provider is registered as an organization entity type.
The provider Is Doing Business As Memorialcare Imaging Center-san Clemente.

The provider's business location address is:

675 CAMINO DE LOS MARES
SUITE 101
SAN CLEMENTE, CA
ZIP 92673-835
Phone: (949) 493-8799

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

The enumeration date for this NPI number is 7/3/2015 and was last updated on 7/3/2015.

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
1261QR0200XClinic/CenterRadiologyYes

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: 11/21/2025

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