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Blue Wave Surgical Center, Inc.
Family Medicine Physician in Lomita, California
NPI 1770840100

Blue Wave Surgical Center, Inc. is a Family Medicine Physician based in Sherman Oaks, CA. Blue Wave Surgical Center, Inc. practices in Lomita, CA. The NPI Number for Blue Wave Surgical Center, Inc. is 1770840100 and holds a License No. A54193 (California).

The current practice location address for Blue Wave Surgical Center, Inc. is 25043 Narbonne Ave # A, Lomita, CA and can be reached out via phone at 818-986-9918.

Location: 25043 Narbonne Ave # A, Lomita, CA, 91403-1770
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770840100
Provider Name
Blue Wave Surgical Center, Inc.
Credential
Provider Entity Type
Organization
Address
25043 Narbonne Ave # A, Lomita, CA, 91403-1770
Phone Number
818-986-9918
Fax Number
Provider Enumeration Date
04/23/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
25043 Narbonne Ave # A
City
Lomita
State
California
Zip
90717-2101
Phone Number
818-986-9918
Fax Number
person
Provider Business Mailing Address Details
Address
25043 Narbonne Ave # A
City
Lomita
State
California
Zip
90717-2101
Phone Number
818-986-9918
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
A54193 (California)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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