Organization
WAVE IMAGING LLC
Active
Other names
MEMORIALCARE IMAGING CENTER-SAN CLEMENTE
Organization subpart
No
Provider details
NPI number
Authorized official
MARK D SCHAFER MD (CEO)
(657) 241-3500
Entity
Organization
Contact information
Practice address
675 CAMINO DE LOS MARES, SUITE 101, SAN CLEMENTE, CA 92673-2835
(949) 493-8799
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
07/03/2015
Last updated
07/03/2015
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