institution
Sisira Gunawardane Md Inc
General Practice Physician in West Covina, California
NPI 1902951601

Sisira Gunawardane Md Inc is a General Practice Physician based in West Covina, CA. Sisira Gunawardane Md Inc practices in West Covina, CA. The NPI Number for Sisira Gunawardane Md Inc is 1902951601 and holds a License No. A33761 (California).

The current practice location address for Sisira Gunawardane Md Inc is 333 No Sunset Ave, West Covina, CA and can be reached out via phone at 626-960-5461 and via fax at 626-962-7199.

Location: 333 No Sunset Ave, West Covina, CA, 91790
institution
Provider Profile Details
NPI Number
1902951601
Provider Name
Sisira Gunawardane Md Inc
Credential
Provider Entity Type
Organization
Address
333 No Sunset Ave, West Covina, CA, 91790
Phone Number
626-960-5461
Fax Number
626-962-7199
Provider Enumeration Date
01/24/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0095500 05 CA
institution
Provider Business Practice Location Address Details
Address
333 No Sunset Ave
City
State
Zip
91790
Phone Number
626-960-5461
Fax Number
626-962-7199
person
Provider Business Mailing Address Details
Address
333 No Sunset Ave
City
State
Zip
91790
Phone Number
626-960-5461
Fax Number
626-962-7199
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
A33761 (California)
Definition
Definition to come...
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