Kids & Teens Medical Group

LBN: Janesri De Silva, Md A Prof Corp
Kids & Teens Medical Group is an health care organization with primary practice located at 15211 Vanowen St Suite 102, Van Nuys CA 91405-3606. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Janesri De Silva, Md A Prof Corp can be contacted via phone (818) 782-7600, or through De Silva, Janesri Wijayangani via phone (818) 782-7600.

Contact Information

Primary practice address
15211 Vanowen St Suite 102 Van Nuys CA 91405-3606
Phone: (818) 782-7600
Fax: (818) 782-9077
Website:
Map and Directions
Authorized official contact:
Name: De Silva, Janesri Wijayangani Doctor of Medicine (MD)
Phone: (818) 782-7600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A88991 California
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X A88991 California

Profile Details

NPI number 1114253671
LBN Legal business name Janesri De Silva, Md A Prof Corp
DBA Doing business as Kids & Teens Medical Group
Authorized official De Silva, Janesri Wijayangani Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2009
Last updated Oct 19th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114253671 NPPES
California MEDICAID 00A889910

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