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Dr. Lasika Chandradatta Seneviratne, MD
Hematology & Oncology Physician in Los Angeles, California
NPI 1437268174

Lasika Chandradatta Seneviratne is a Hematology & Oncology Physician based in Glendale, CA and is specialized in Hematology & Oncology. Lasika Chandradatta Seneviratne practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Lasika Chandradatta Seneviratne is 1437268174 and holds a License No. A56331 (California).

The current practice location address for Lasika Chandradatta Seneviratne is 1245 Wilshire Blvd, Los Angeles, CA and can be reached out via phone at 213-977-1214 and via fax at 213-482-8868.

Location: 1245 Wilshire Blvd, Los Angeles, CA, 91204-3640
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437268174
Provider Name
Lasika Chandradatta Seneviratne
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1245 Wilshire Blvd, Los Angeles, CA, 91204-3640
Phone Number
213-977-1214
Fax Number
213-482-8868
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A056331 01 CA CA MEDICAL LICENSE
00A563310 05 CA
institution
Provider Business Practice Location Address Details
Address
1245 Wilshire Blvd
City
Los Angeles
State
California
Zip
90017-4810
Phone Number
213-977-1214
Fax Number
213-482-8868
person
Provider Business Mailing Address Details
Address
1245 Wilshire Blvd
City
Los Angeles
State
California
Zip
90017-4810
Phone Number
213-977-1214
Fax Number
213-482-8868
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
A56331 (California)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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