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General NPI Number Information
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NPI Number | 1629990452
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Entity Type | Organization
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Legal Business Name | HORIZONWAVE, PC
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Dates
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Enumeration Date | 07/25/2026
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Last Update Date | 07/25/2026
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Provider Practice Location Address
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Address Line | 4551 GLENCOE AVE STE 145
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City | MARINA DEL REY
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State | CA
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Zip | 90292-6385
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Country | US
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Telephone | 310-437-7929
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Fax |
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Provider Business Mailing Address
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Address Line | 13157 MINDANAO WAY STE 201
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City | MARINA DEL REY
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State | CA
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Zip | 90292-6307
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Country | US
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Telephone | 310-437-7929
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | ERIKA JANG
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Credential |
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Telephone | 310-437-7929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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