Wave Imaging, Llc

NPI 1083047955 - Clinic/Center - 261QR0200X

NPI Details
NPI 1083047955
Enumeration Date 08/15/2013
Last Updated 03/07/2016
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MARK D MARK
Position MANAGER
Phone (949) 726-9500
Fax (949) 451-1724
Practice Location
4050 BARRANCA PKWY
SUITE 160
IRVINE CA, 92604-7706, US
Phone (949) 726-9500
Fax (949) 451-1724
Business Location
17360 BROOKHURST ST
FOUNTAIN VALLEY CA, 92708-3720, US
Phone
Fax
Toxanomy
Taxonomy Code 261QR0200X
License State
License Number
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According to our database, Wave Imaging, Llc NPI is 1083047955, taxonomy code is 261QR0200X Wave Imaging, Llc physically located at 4050 Barranca Pkwy, Irvine CA, 92604-7706. NPI Number 1033115704 has the healthcare provider type.

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1083047955 NPI number is provided on an as is basis without warranty of any kind. 1083047955 is maintained by the National Plan & Provider Enumeration System. The contents of Wave Imaging, Llc are for informational purposes only.