Family Medical Center Of West Covina
LBN: Sisira Gunawardane Md Inc
Family Medical Center Of West Covina is an health care organization with primary practice located at 333 N Sunset Ave , West Covina CA 91790. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Sisira Gunawardane Md Inc can be contacted via phone (626) 960-5461, or through Gunawardane, Sisira K via phone (626) 960-5461.
Contact Information
Primary practice address
333 N Sunset Ave
West Covina CA 91790
Phone: (626) 960-5461
Fax: (626) 962-7199
Website:
Authorized official contact:
Name: Gunawardane, Sisira K Doctor of Medicine (MD)
Phone: (626) 960-5461
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A33761 | California |
Profile Details
NPI number | 1922160845 |
---|---|
LBN Legal business name | Sisira Gunawardane Md Inc |
DBA Doing business as | Family Medical Center Of West Covina |
Authorized official | Gunawardane, Sisira K Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 15th, 2006 |
Last updated | Dec 18th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922160845 | NPPES |
California | MEDICAID | GR0095500 |
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