Chandratillake, Gemma Louise

Chandratillake, Gemma Louise is an individual health care provider with primary practice located at 1350 Willow Rd Suite 202, Menlo Park CA 94025-1540. She recently has only one registered license in Other Service Providers / Genetic Counselor, MS, which is considered as her primary health care specialty. Chandratillake, Gemma Louise can be contacted via phone (650) 752-1300.

Contact Information

Primary practice address
1350 Willow Rd Suite 202 Menlo Park CA 94025-1540
Phone: (650) 752-1300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Genetic Counselor, MS 170300000X California

Profile Details

NPI number 1487925186
LBN Legal business name Chandratillake, Gemma Louise
Credentials MPHIL PH.D. M.S. CGC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2012
Last updated Aug 25th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487925186 NPPES
California Other GC000379 CALIFORNIA DEPARTMENT OF PUBLIC HEALTH GENETIC DISEASE SCREENING PROGRAM

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