Blue Wave Surgical Center, Inc.
NPI #1770840100 in Lomita, California
Provider Information
- NPI Number
- 1770840100
- Entity Type
- Organization
- Organization Name
- Blue Wave Surgical Center, Inc.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Apr 23, 2012
- Last Updated
- Apr 23, 2012
Practice Location
- Address
- 25043 NARBONNE AVE # A
- City
- Lomita
- State
- California
- ZIP Code
- 90717-2101
- Phone
- (818) 986-9918
Authorized Official
- Name
- DR. ALEXANDER SOROKURS, M.D.
- Title
- PRESIDENT
- Phone
- (310) 622-5369
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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