Kumaratne, Mohan Priyakantha

Kumaratne, Mohan Priyakantha is an individual health care provider with primary practice located at 17692 Beach Blvd Ste. 200, Huntington Beach CA 92647-6837. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Kumaratne, Mohan Priyakantha can be contacted via phone (714) 847-6975.

Contact Information

Primary practice address
17692 Beach Blvd Ste. 200 Huntington Beach CA 92647-6837
Phone: (714) 847-6975
Fax: (714) 847-9727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X A35327 California

Profile Details

NPI number 1104881523
LBN Legal business name Kumaratne, Mohan Priyakantha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jul 9th, 2007 - about 17 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 1104881523 NPPES
California MEDICAID 00A353270

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