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Organization
JAYASINGHE MEDICAL GROUP INC
Active
Organization
JAYASINGHE MEDICAL GROUP INC
Active
Other names
LOS ANGELES MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER JAYASINGHE M.D. (OWNER)
(213) 483-2620
Entity
Organization
Contact information
Practice address
319 N SOTO ST, LOS ANGELES, CA 90033-1837
(323) 266-6730
(323) 266-6750
Mailing address
1930 WILSHIRE BLVD, LOS ANGELES, CA 90057-3605
(213) 483-2620
(213) 483-7918
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
363A00000X
Physician Assistant
PA14957
CA
363A00000X
Physician Assistant
PA15310
CA
363L00000X
Nurse Practitioner
RN349926
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0004062
—
CA
Enumeration date
08/30/2006
Last updated
11/04/2021
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