Jayasekara, Deepthi Kumara

Jayasekara, Deepthi Kumara is an individual health care provider with primary practice located at 935 W Foothill Blvd , Claremont CA 91711-3304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Jayasekara, Deepthi Kumara can be contacted via phone (626) 851-8880.

Contact Information

Primary practice address
935 W Foothill Blvd Claremont CA 91711-3304
Phone: (626) 851-8880
Fax: (626) 851-8001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X A69077 California

Profile Details

NPI number 1366426306
LBN Legal business name Jayasekara, Deepthi Kumara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Apr 29th, 2020 - about 4 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 1366426306 NPPES
California MEDICAID A69077
California MEDICAID GR0059520

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