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WAVE PLASTIC SURGERY & LASER CENTER
NPI 1720230840
Special Hospital in Los Angeles, CA

Active since October 21, 2008CLIA 05D2159809 · Waiver
3680 WILSHIRE BLVD STE 202, LOS ANGELES, CA 90010(213) 383-4800(213) 674-2827 Get Directions Write a Review

NPPES record last updated: May 5, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wave Plastic Surgery & Laser Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAVE PLASTIC SURGERY & LASER CENTER (NPI 1720230840) is a healthcare organization registered as a special hospital in Los Angeles, California and active in the NPI registry since October 2008. The organization holds a CLIA Waiver certificate valid through December 26, 2026 and lists Peter G. Lee, Plastic Surgeon, as its authorized official.

NPPES Registry Identity

NPI1720230840
Entity TypeOrganization
Primary Taxonomy284300000X
Legal Business NameWAVE PLASTIC SURGERY CENTER
Location Address3680 WILSHIRE BLVD STE 202Los Angeles, CA 90010-2709
Mailing Address3680 Wilshire Blvd Ste 202Los Angeles, CA 90010-2709 · (213) 383-4800 · Fax (213) 674-2827
Phone(213) 383-4800
Fax(213) 674-2827
Organization SubpartNo
Authorized OfficialPeter G. LeePlastic Surgeon · (213) 383-4800
Enumeration DateOctober 21, 2008
Last NPPES UpdateMay 5, 2016
✔ NPI 1720230840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecial HospitalHospitals
Taxonomy Code284300000X
License✔ Licensed in CA · G84673
Definition
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.
3680 WILSHIRE BLVD STE 202, Los Angeles, CA 90010
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Other Names 1

Doing Business AsWave Plastic Surgery & Laser Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2159809

Wave Plastic Surgery Center · Los Angeles, CA
Active · expires Dec 26, 2026
CLIA Number05D2159809
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 27, 2024
Certificate Expiration DateDecember 26, 2026
Laboratory DirectorJonathan Shifren
Laboratory Phone(213) 383-4800
Laboratory LocationWave Plastic Surgery Center3680 Wilshire Blvd Suite 202, Los Angeles, CA 90010
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN LEE
Nurse Practitioner (Family)
3680 WILSHIRE BLVD STE 202
LOS ANGELES, CA 90010
Los Angeles County (213) 383-4800
DR. PETER GEON LEE M.D.
Specialist
3680 WILSHIRE BLVD STE 202
LOS ANGELES, CA 90010
Los Angeles County (213) 383-4800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wave Plastic Surgery Center's NPI number?

The NPI number for Wave Plastic Surgery Center is 1720230840. It was assigned to this organization in the NPPES registry on October 21, 2008. The provider is doing business as Wave Plastic Surgery & Laser Center.

Where is Wave Plastic Surgery Center located?

Wave Plastic Surgery Center is located at 3680 Wilshire Blvd Ste 202, Los Angeles, CA 90010. The listed phone number is (213) 383-4800.

What is Wave Plastic Surgery Center's specialty?

The primary specialty registered for this NPI is Special Hospital with taxonomy code 284300000X.

Does Wave Plastic Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2159809) is associated with this NPI, valid through December 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wave Plastic Surgery Center was last updated on May 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.