Blue Wave Surgical Center, Inc. - Primary Care in Lomita, CA

Blue Wave Surgical Center, Inc. is a primary clinic (Family Medicine) in Lomita, California. The current practice location for Blue Wave Surgical Center, Inc. is 25043 Narbonne Ave # A, Lomita, California. For appointments, you can reach them via phone at (818) 986-9918. The mailing address for Blue Wave Surgical Center, Inc. is 4910 Van Nuys Blvd Ste 306, Sherman Oaks, California and phone number is (818) 986-9918.

Blue Wave Surgical Center, Inc. is licensed to practice in California (license number A54193) and its NPI number is 1770840100. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (818) 986-9918.

Contact Information

Blue Wave Surgical Center, Inc.
25043 Narbonne Ave # A
Lomita
CA 90717-2101
(818) 986-9918
Not Available

Primary Care Clinic Profile

Full NameBlue Wave Surgical Center, Inc.
SpecialityFamily Medicine
Location25043 Narbonne Ave # A, Lomita, California
Authorized Official Name and PositionAlexander Sorokurs (PRESIDENT)
Authorized Official Contact3106225369
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Blue Wave Surgical Center, Inc.
4910 Van Nuys Blvd Ste 306
Sherman Oaks
CA 91403-1770

Ph: (818) 986-9918
Blue Wave Surgical Center, Inc.
25043 Narbonne Ave # A
Lomita
CA 90717-2101

Ph: (818) 986-9918

NPI Details:

NPI Number1770840100
Provider Enumeration Date04/23/2012
Last Update Date04/23/2012

Medical Identifiers

Medical identifiers for Blue Wave Surgical Center, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770840100NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A54193 (California)Primary

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