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SISIRA GUNAWARDANE MD INC NPI 1922160845


NPI Information

NPI: 1922160845
Provider Name: SISIRA GUNAWARDANE MD INC

Other Name: FAMILY MEDICAL CENTER OF WEST COVINA

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
333 N SUNSET AVE
WEST COVINA, CA
ZIP 91790
Phone: (626) 960-5461
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SISIRA GUNAWARDANE MD INC is a family medicine in West Covina, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SISIRA GUNAWARDANE MD INC NPI is 1922160845. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Family Medical Center Of West Covina.

The provider's business location address is:

333 N SUNSET AVE
WEST COVINA, CA
ZIP 91790
Phone: (626) 960-5461
Fax: (626) 962-7199

The provider's authorized official is Sisira K Gunawardane .
The authorized official title is President Of Corporation and has the following contact phone number (626) 960-5461.

The enumeration date for this NPI number is 12/15/2006 and was last updated on 12/18/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineA33761CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W16584MEDICARE PINCALIFORNIA
2GR0095500MEDICAIDCALIFORNIA

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: 4/28/2024

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