WAVE PLASTIC SURGERY CENTER (NPI# 1720230840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720230840 |
| Entity Type | Organization |
| Organization Name | WAVE PLASTIC SURGERY CENTER |
| Other Organization Name | WAVE PLASTIC SURGERY & LASER CENTER |
| Practice Address |
3680 Wilshire Blvd Ste 202 Los Angeles CA 90010-2709 |
| Practice Telephone | 2133834800 |
| Practice Fax Number | 2136742827 |
| Mailing Telephone | 2133834800 |
| Mailing Fax Number | 2136742827 |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2016-05-05 |
| Authorized Official Name | DR. PETER G. LEE (PLASTIC SURGEON) |
| Authorized Official Telephone | 2133834800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | G84673 | CA | Hospitals |
| Other Name | Type Code |
|---|---|
| Wave plastic surgery & laser center | Doing Business As Name - Organization |
| Street Address |
3680 WILSHIRE BLVD STE 202 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90010-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205454204 | Sage Minds | Psychiatry & Neurology | 3860 Wilshire Blvd, P04-1188, Los Angeles, CA 90010 | 2020-07-07 |
| 1629602750 | Shalva, A Psychology Corporation | Counselor | 4221 Wilshire Boulevlard, Suite 170b, Los Angeles, CA 90010 | 2020-02-27 |
| 1609346287 | Leticia Arteaga | Marriage & Family Therapist | 3580 Wilshire Blvd Suite 800, Los Angeles, CA 90010 | 2018-11-27 |
| 1891265559 | Maria Nguyen | Case Manager/Care Coordinator | 3424 Wilshire Blvd Ste 1000, Los Angeles, CA 90010 | 2018-11-26 |
| 1568955474 | Cherie Emi Okada | Student in an Organized Health Care Education/Training Program | 358 Wilshire Blvd, Suite 2000, Los Angeles, CA 90010 | 2018-06-14 |
| 1780101832 | Bj Park, Chiropractic | Acupuncturist | 3020 Wilshire Blvd., Suite 220, Los Angeles, CA 90010 | 2017-08-29 |
| 1952828188 | Karin Alm | Case Manager/Care Coordinator | 3580 Wilshire Blvd., Suite 2000, Los Angeles, CA 90010 | 2017-08-28 |
| 1295257111 | Freddy Pablo | Rehabilitation Practitioner | 3580 Wilshire Blvd., Ste. 800, Los Angeles, CA 90010 | 2017-07-12 |
| 1770032690 | Astghik Harutyunyan | Special Hospital | 3699 Wilshire Blve, Los Angeles, CA 90010 | 2016-10-04 |
| 1629446281 | Praveena Chinniah | Behavioral Analyst | 4221 Wilshire Blvd., Suite 300a, Los Angeles, CA 90010 | 2015-09-11 |
| Find all providers in zip 90010 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770032690 | Astghik Harutyunyan | Special Hospital | 3699 Wilshire Blve, Los Angeles, CA 90010 | 2016-10-04 |
| 1457624637 | Animal Surgical & Emergency Center | Special Hospital | 1535 S Sepulveda Blvd, Los Angeles, CA 90025-3311 | 2012-02-17 |
| 1730363763 | Ucla Hospital Dentistry | Special Hospital | Ucla Hospital Dentistry, 10833 Le Conte Ave. Chs Bldg Room A0-156b, Los Angeles, CA 90095-0001 | 2007-12-27 |
| 1689858623 | Ucla Graduate Prosthodontics | Special Hospital | Ucla Graduate Prosthodontics, 10833 Le Conte Ave. Chs Bldg. Room A0-156b, Los Angeles, CA 90095-0001 | 2007-12-27 |
| 1427232453 | Ucla Hospital Dentistry Faculty | Special Hospital | Ucla Hospital Dentistry Faculty, 10833 Le Conte Ave. Chs Bldg. Room A0-156, Los Angeles, CA 90095-0001 | 2007-12-27 |
| 1568644565 | Veterans Administration Hospital | Special Hospital | 3744 Inglewood Blvd, Los Angeles, CA 90066-3250 | 2007-11-30 |
| 1730630948 | Iam-dr.clinic | Special Hospital | 903 S. Crenshaw Blvd, 302, Los Angeles, CA 90019-1914 | 2016-10-24 |
| 1477921641 | Defense Finance & Actg Serve Agent for Veterans Affairs | Special Hospital | 11301 Wilshire Blvd, Building 258, Los Angeles, CA 90073-1003 | 2015-09-04 |
| 1497123699 | Defense Finance & Actg Serv | Special Hospital | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2015-09-04 |
| 1851702286 | Morningside Specialty Hospital Inc. | Special Hospital | 1704 W Manchester Ave, Suite 206k, Los Angeles, CA 90047-3063 | 2014-05-20 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90010 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.