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BLUE WAVE SURGICAL CENTER, INC.
NPI 1770840100
Family Medicine in Lomita, CA

Active since April 23, 2012
25043 NARBONNE AVE # A, LOMITA, CA 90717(818) 986-9918 Get Directions Write a Review

NPPES record last updated: April 23, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Blue Wave Surgical Center, Inc. NPPES

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

BLUE WAVE SURGICAL CENTER, INC. (NPI 1770840100) is a healthcare organization registered as a family medicine in Lomita, California and active in the NPI registry since April 2012. The organization lists Alexander Sorokurs, President, as its authorized official.

NPPES Registry Identity

NPI1770840100
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLUE WAVE SURGICAL CENTER, INC.
Location Address25043 NARBONNE AVE # ALomita, CA 90717-2101
Mailing Address4910 Van Nuys Blvd Ste 306Sherman Oaks, CA 91403-1770 · (818) 986-9918
Phone(818) 986-9918
Organization SubpartNo
Authorized OfficialAlexander SorokursPresident · (310) 622-5369
Enumeration DateApril 23, 2012
✔ NPI 1770840100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A54193
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
25043 NARBONNE AVE # A, Lomita, CA 90717
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Other Identifiers 1

Medicare PINPTAN DH485ZCA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Blue Wave Surgical Center, Inc.'s NPI number?

The NPI number for Blue Wave Surgical Center, Inc. is 1770840100. It was assigned to this organization in the NPPES registry on April 23, 2012.

Where is Blue Wave Surgical Center, Inc. located?

Blue Wave Surgical Center, Inc. is located at 25043 Narbonne Ave # A, Lomita, CA 90717. The listed phone number is (818) 986-9918.

What is Blue Wave Surgical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Blue Wave Surgical Center, Inc. was last updated on April 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.