# MEDWAVE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376990002
- **Authorized official:** MR. MARC H FRIEDMAN (MANAGER)
- **Authorized official phone:** (562) 842-3595

## Contact information

- **Practice address:** 9505 TELEGRAPH RD, PICO RIVERA, CA 90660-5523
- **Practice address phone:** (562) 842-3595
- **Practice address fax:** (562) 842-3598
- **Mailing address:** 9505 TELEGRAPH RD, PICO RIVERA, CA 90660-5523
- **Mailing address phone:** (562) 842-3595
- **Mailing address fax:** (562) 842-3598

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 05/23/2016
- **Last updated:** 05/23/2016