BLUE WAVE SURGERY CENTER, INC.
Ambulatory Health at Van Nuys Blvd, Van Nuys, CA

License number
California A54193
Category
Osteopathic Medicine
Type
Family Medicine
License number
California A54193
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: DR. ALEXANDER SOROKURS M.D.
Title: PRESIDENT
Phone: (310) 622-5369
Address
Address
4910 Van Nuys Blvd STE 306, Van Nuys, CA 91403
National Provider ID: 1821362443
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BLUE WAVE SURGERY CENTER, INC. at bizstanding.com

BLUE WAVE SURGERY CENTER, INC

Van Nuys, CA  -  Montebello, CA

Registration:
Jan 31, 2012
Addresses:
4910 Van Nuys Blvd STE 306, Sherman Oaks, CA 91403 (Physical)
1217 W Whittier Blvd, Montebello, CA 90640
State ID:
C3438636
Business type:
Articles of Incorporation
President:
Alexander Sorokurs (President)
Agent:
Kevin Jorgensen,Montebello, CA 90640 (Physical)

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