Organization
WAVE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER GEON LEE MD (OWNER)
(213) 383-4800
Entity
Organization
Contact information
Practice address
720 PAULARINO AVE STE 200, COSTA MESA, CA 92626-6917
(213) 383-4800
Mailing address
3680 WILSHIRE BLVD STE 202, LOS ANGELES, CA 90010-2709
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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