Wave Plastic Surgery Center

Primary specialty

Special HospitalTaxonomy code 284300000X

License

G84673 Issued in CA

Legal business name

WAVE PLASTIC SURGERY CENTER

Practice address

3680 Wilshire Blvd Ste 202
Los Angeles, CA 90010-2709

Phone

(213) 383-4800

Fax

(213) 674-2827

NPI assigned

Oct 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Peter G. Lee, M.D.

Title

Plastic Surgeon

Phone

(213) 383-4800

Specialties & licenses 1

Addresses

Other names 1

• Wave plastic surgery & laser center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1720230840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 WILSHIRE BLVD STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102709",
            "telephone_number": "213-383-4800",
            "fax_number": "213-674-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 WILSHIRE BLVD STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102709",
            "telephone_number": "213-383-4800",
            "fax_number": "213-674-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVE PLASTIC SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PLASTIC SURGEON",
        "authorized_official_telephone_number": "213-383-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "CA",
            "license": "G84673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wave plastic surgery & laser center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sydney Watts
• Booker TK Waugh
• Sophia Waugh
• Wave Integrative Psychiatry, PC
• Wave Medical Corporation
• Wave Psychiatric Group, PC
• Wavemind Inc, a Psychology Corporation
• Jonathan Fredric Waxer, MD
• Robert D Waxler, M.D.
• Alan D Waxman, MD

• Special Hospital in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Special Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.