BLUE WAVE SURGERY CENTER, INC. – NPI #1821362443
Clinic/Center

BLUE WAVE SURGERY CENTER, INC. is an AHC clinic located in SHERMAN OAKS, CA. NPPES has assigned the NPI number 1821362443 to BLUE WAVE SURGERY CENTER, INC. on February 29, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 14 years ago on Apr 17, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUE WAVE SURGERY CENTER, INC. below.

NPI Profile for
BLUE WAVE SURGERY CENTER, INC.

NPI Number
1821362443
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLUE WAVE SURGERY CENTER, INC.
Primary location
4910 VAN NUYS BLVD STE 306
SHERMAN OAKS, CA 91403-1770
Phone: (310) 622-5369 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - BLUE WAVE SURGERY CENTER, INC. is subpart of another organization.
Authorized Official
ALEXANDER SOROKURS
PRESIDENT
Phone: (310) 622-5369
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 CA A54193
207Q00000X
- Family Medicine		 CA A54193

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.