Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Wave Surgical Center, Inc

Organization Family Medicine Physician · NPI 1770840100

Blue Wave Surgical Center, Inc provides Family Medicine Physician services in Lomita, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

25043 Narbonne Ave # A
Lomita, CA 90717-2101 Not confirmed with CMS for 14 years — call before visiting
Phone: (818) 986-9918
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A54193 (CA)

Record details

NPI number1770840100
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexander Sorokurs — President · (310) 622-5369
NPI enumeratedApril 23, 2012
Last updated in NPPESApril 23, 2012
Mailing address4910 Van Nuys Blvd Ste 306, Sherman Oaks, CA 91403-1770

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