MEMORIALCARE IMAGING CENTER-FOUNTAIN VALLEY – NPI #1538555735
Clinic/Center

MEMORIALCARE IMAGING CENTER-FOUNTAIN VALLEY is an AHC clinic located in FOUNTAIN VALLEY, CA. NPPES has assigned the NPI number 1538555735 to MEMORIALCARE IMAGING CENTER-FOUNTAIN VALLEY on April 14, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEMORIALCARE IMAGING CENTER-FOUNTAIN VALLEY” is a dba name, the actual legal business name for this organization is WAVE IMAGING, LLC. The primary taxonomy selected by this provider is 261QR0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Radiology

The NPI profile was previously updated about 11 years ago on Apr 27, 2015. 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 MEMORIALCARE IMAGING CENTER-FOUNTAIN VALLEY below.

NPI Profile for
WAVE IMAGING, LLC

NPI Number
1538555735
Enumeration Date

(more than 11 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
WAVE IMAGING, LLC
Doing Business As (dba): MEMORIALCARE IMAGING CENTER-FOUNTAIN VALLEY
Primary location
18785 BROOKHURST ST
SUITE 102
FOUNTAIN VALLEY, CA 92708
Phone: (714) 417-9950 Fax: (714) 417-9970
Mailing address
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708-3720
Phone: (657) 241-3500 Fax:
Organization Subpart
No
Authorized Official
MARK SCHAFER
MANAGER
Phone: (657) 241-3500
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
261QR0200X
- Clinic/Center / Radiology (Primary)

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.