DR. MOHAN PRIYAKANTHA KUMARATNE M.D. NPI 1104881523

NPI Information

  • NPI: 1104881523
  • Provider Name: DR. MOHAN PRIYAKANTHA KUMARATNE, M.D.
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Individual
  • CLIA Number: 05D0907670
  • Address: 17692 BEACH BLVD
    STE. 200
    HUNTINGTON BEACH, CA
    ZIP 92647
  • Phone: (714) 847-6975

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NPI Details

DR. Mohan Priyakantha Kumaratne, M.D. is an adolescent medicine pediatrics in Huntington Beach, CA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DR. Mohan Priyakantha Kumaratne, M.D. NPI is 1104881523. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17692 BEACH BLVD
STE. 200
HUNTINGTON BEACH, CA
ZIP 92647-837
Phone: (714) 847-6975
Fax: (714) 847-9727

The CLIA number assigned to this NPI record is 05D0907670 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/19/2006 and was last updated on 7/9/2007.

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
12080A0000XPediatricsAdolescent MedicineA35327CALIFORNIAYes

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
100A353270MEDICAIDCALIFORNIA

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: 3/30/2025

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