Organization
NU WAVE NDT INC
Active
Parent organization
NU WAVE NDT INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NU WAVE NDT INC
Authorized official
MS. ROCIO BAENA R. EEG., CNIM, BS (INTRAOPERATIVENEUROMONITORIST)
(626) 224-1287
Entity
Organization
Contact information
Practice address
1720 E. CESAR CHAVEZ AVENUE, LOS ANGELES, CA 90033
(323) 268-5000
Mailing address
1108 N ANGELENO AVE # 911, AZUSA, CA 91702-1913
(626) 224-1287
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17001125572
NPI 1
CA
Enumeration date
01/31/2022
Last updated
01/31/2022
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