SISIRA GUNAWARDANE MD INC NPI 1902951601

NPI Information

NPI: 1902951601
Provider Name: SISIRA GUNAWARDANE MD INC

Doing Business As: FAMILY MEDICAL CENTER OF WEST COVINA

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
333 NO SUNSET AVE
WEST COVINA, CA
ZIP 91790
Phone: (626) 960-5461
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SISIRA GUNAWARDANE MD INC is a general practice in West Covina, CA. SISIRA GUNAWARDANE MD INC NPI is 1902951601. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Family Medical Center Of West Covina.

The provider's business location address is:

333 NO SUNSET AVE
WEST COVINA, CA
ZIP 91790
Phone: (626) 960-5461
Fax: (626) 962-7199

The provider's authorized official is Hemalatha R Parekh .
The authorized official title is Associate and has the following contact phone number (626) 960-5461.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		A33761	CALIFORNIA	No
2	208D00000X	General Practice		A50919	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GR0095500	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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