Organization
BLUE WAVE HEALTH SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMEH A AHMED (OWNER)
(858) 222-4704
Entity
Organization
Contact information
Practice address
402 W BROADWAY STE 400 UNIT 83, SAN DIEGO, CA 92101
(858) 222-4704
Mailing address
402 W BROADWAY STE 400 UNIT 83, SAN DIEGO, CA 92101
(858) 222-4704
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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