| Blue Wave Surgery Center, Inc. | |
|
4910 Van Nuys Blvd Ste 306 Sherman Oaks CA 91403-1770 | |
| (310) 622-5369 | |
| Not Available |
| Full Name | Blue Wave Surgery Center, Inc. |
|---|---|
| Speciality | Clinic/center - Ambulatory Surgical |
| Location | 4910 Van Nuys Blvd Ste 306, Sherman Oaks, California |
| Authorized Official Name and Position | Alexander Sorokurs (PRESIDENT) |
| Authorized Official Contact | 3106225369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Wave Surgery Center, Inc. 4910 Van Nuys Blvd Ste 306 Sherman Oaks CA 91403-1770 Ph: (310) 622-5369 | Blue Wave Surgery Center, Inc. 4910 Van Nuys Blvd Ste 306 Sherman Oaks CA 91403-1770 Ph: (310) 622-5369 |
| NPI Number | 1821362443 |
|---|---|
| Provider Enumeration Date | 02/29/2012 |
| Last Update Date | 04/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821362443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A54193 (California) | Secondary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | A54193 (California) | Primary |
Gary Schneider D O Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4835 Van Nuys Blvd Ste 109, Sherman Oaks, CA 91403 Phone: 818-905-9586 Fax: 818-905-0130 | |
Joey Brett Md A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13320 Riverside Dr, Suite 104, Sherman Oaks, CA 91423 Phone: 818-789-0034 Fax: 818-789-0042 | |
Ali Sheybani Medical Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4955 Van Nuys Blvd, Suite 405, Sherman Oaks, CA 91403 Phone: 818-464-4870 Fax: 818-464-4877 | |
Alberto X. Campain, M.d., A Professional Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4940 Van Nuys Blvd., Suite 200, Sherman Oaks, CA 91403 Phone: 818-528-1090 Fax: 818-528-1099 | |
Maximum Care Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4910 Van Nuys Blvd, Suite 306, Sherman Oaks, CA 91403 Phone: 818-426-0886 | |
Peter P. Koenig, M.d., Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4940 Van Nuys Blvd., Suite 200, Sherman Oaks, CA 91403 Phone: 818-528-1222 Fax: 828-528-1225 | |
Health West Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14417 Burbank Blvd, Sherman Oaks, CA 91401 Phone: 818-786-3318 |