Provider Demographics
NPI:1912727207
Name:ECHO WAVES INC
Entity type:Organization
Organization Name:ECHO WAVES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARDIOVASCULAR TECHNOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:FIEBY
Authorized Official - Middle Name:
Authorized Official - Last Name:ISAAC
Authorized Official - Suffix:
Authorized Official - Credentials:RDCS, RVT
Authorized Official - Phone:562-250-7373
Mailing Address - Street 1:1101 CALIFORNIA AVE STE 100-1
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92881-6470
Mailing Address - Country:US
Mailing Address - Phone:562-250-7373
Mailing Address - Fax:
Practice Address - Street 1:1101 CALIFORNIA AVE STE 100-1
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92881-6470
Practice Address - Country:US
Practice Address - Phone:562-250-7373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-12
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes293D00000XLaboratoriesPhysiological Laboratory
No246X00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularGroup - Single Specialty