Organization
WAVE IMAGING, LLC
Active
Other names
MEMORIALCARE IMAGING CENTER-FOUNTAIN VALLEY
Organization subpart
No
Provider details
NPI number
Authorized official
MARK D SCHAFER M.D. (MANAGER)
(657) 241-3500
Entity
Organization
Contact information
Practice address
18785 BROOKHURST ST, SUITE 102, FOUNTAIN VALLEY, CA 92708
(714) 417-9950
(714) 417-9970
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
04/14/2015
Last updated
04/27/2015
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