Sunil M. Dissanayake Md A Professional Corporation
LBN: Sunil M. Dissanayake Md A Professional Corporation
Sunil M. Dissanayake Md A Professional Corporation is an health care organization with primary practice located at 1612 Nogales St , Rowland Heights CA 91748-2257. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Sunil M. Dissanayake Md A Professional Corporation can be contacted via phone (626) 965-1646, or through Dissanayake, Sunil Mahanama via phone (626) 965-1646.
Contact Information
Primary practice address
1612 Nogales St
Rowland Heights CA 91748-2257
Phone: (626) 965-1646
Fax: (626) 965-4697
Website:
Authorized official contact:
Name: Dissanayake, Sunil Mahanama Doctor of Medicine (MD)
Phone: (626) 965-1646
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A39447 | California |
Profile Details
| NPI number | 1811065204 |
|---|---|
| LBN Legal business name | Sunil M. Dissanayake Md A Professional Corporation |
| DBA Doing business as | |
| Authorized official | Dissanayake, Sunil Mahanama Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 1st, 2006 |
| Last updated | May 14th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811065204 | NPPES |
| California | MEDICAID | 00A394470 | |
| California | Other | W20199 |
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