Organization
WAVE IMAGING LLC
Active
Other names
Saddleback Valley Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
MARK D SCHAFER MD (MANAGER)
(657) 241-3500
Entity
Organization
Contact information
Practice address
23961 CALLE DE LA MAGDALENA, SUITE 243, LAGUNA HILLS, CA 92653-3616
(949) 855-4301
(949) 855-1614
Mailing address
17360 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-3720
(657) 241-3500
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2014
Last updated
02/09/2015
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