Electronic Waveform Lab, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ELECTRONIC WAVEFORM LAB, INC

Practice address

5702 Bolsa Ave
Huntington Beach, CA 92649-1128

Phone

(714) 843-0463

Fax

(714) 500-4093

NPI assigned

Jan 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ryan P Heaney

Title

President

Phone

(714) 843-0463

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1679625677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5702 BOLSA AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491128",
            "telephone_number": "714-843-0463",
            "fax_number": "714-500-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5702 BOLSA AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491128",
            "telephone_number": "714-843-0463",
            "fax_number": "714-500-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECTRONIC WAVEFORM LAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "HEANEY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-843-0463",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer M Eitel, MD
• Amin Eizadkhah
• Michaella Elad
• Salisha Aisha Elder-Christensen, AU.D.
• Elizabeth Elder, L.C.S.W.
• Elevated Health Inc
• Bassem Galal Elgohary, M.D.
• Elham Elle Farajian, DPM, Professional Corporation
• Elizabeth Logue Physical Therapy.Inc
• Thomas A Elliott, PHARM.D.

• Durable Medical Equipment & Medical Supplies in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.