WAVE PLASTIC SURGERY & LASER CENTER
NPI 1720230840
Special Hospital in Los Angeles, CA
NPI Status: Active since October 21, 2008
Contact Information
3680 WILSHIRE BLVD STE 202
LOS ANGELES, CA
ZIP 90010
Phone: (213) 383-4800
Fax: (213) 674-2827
- Organization
- Special Hospital
- CLIA Number: 05D2159809
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 12-26-2026
About WAVE PLASTIC SURGERY & LASER CENTER
This page provides the complete NPI Profile along with additional information for Wave Plastic Surgery & Laser Center, a provider established in Los Angeles, California operating as a Special Hospital. The healthcare provider is registered in the NPI registry with number 1720230840 assigned on October 2008. The practitioner's primary taxonomy code is 284300000X with license number G84673 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Wave Plastic Surgery & Laser Center. The authorized official of this NPI record is Dr. Peter G. Lee M.d. (Plastic Surgeon)
- NPI
- 1720230840
- Provider Legal Name
- WAVE PLASTIC SURGERY CENTER
- Other Organization Name
- WAVE PLASTIC SURGERY & LASER CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3680 WILSHIRE BLVD STE 202 LOS ANGELES, CA 90010
- Location Phone
- (213) 383-4800
- Location Fax
- (213) 674-2827
- Mailing Address
- 3680 WILSHIRE BLVD STE 202 LOS ANGELES, CA 90010
- Mailing Phone
- (213) 383-4800
- Mailing Fax
- (213) 674-2827
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-21-2008
- Last Update Date
- 05-05-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Special Hospital
- Taxonomy Code
- 284300000X
- Type
- Hospitals
- License No.
- G84673
- License State
- CA
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2159809
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- December 27, 2024
- Certificate Expiration Date
- December 26, 2026
- Laboratory Director
- JONATHAN SHIFREN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Wave Plastic Surgery & Laser Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1720230840, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720230840, enumerated as an "organization" on October 21, 2008.
The provider is located at 3680 WILSHIRE BLVD STE 202 LOS ANGELES, CA 90010 and the phone number is (213) 383-4800.
Special Hospital with taxonomy code 284300000X.
