Nissanka, Amila Vimara

Nissanka, Amila Vimara is an individual health care provider with primary practice located at 303 Broadway St Ste 103 , Laguna Beach CA 92651-1816. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Nissanka, Amila Vimara can be contacted via phone (949) 665-6000.

Contact Information

Primary practice address
303 Broadway St Ste 103 Laguna Beach CA 92651-1816
Phone: (949) 665-6000
Fax: (949) 670-4967
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 125071582 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036.157093 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 74854-20 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 63792 Arizona
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 45836 Alabama
Allopathic & Osteopathic Physicians / Surgery 208600000X 125071582 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A174462 California

Profile Details

NPI number 1073023594
LBN Legal business name Nissanka, Amila Vimara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2017
Last updated May 4th, 2023 - about 2 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.

Request for update

Popular Providers