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Organization
P DHANAPALA RODRIGO MD A MEDICAL CORP
Active
Organization
P DHANAPALA RODRIGO MD A MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PULAHINGE DHANAPALA RODRIGO M.D (PRESIDENT/ M.D)
(714) 544-5653
Entity
Organization
Contact information
Practice address
280 S MAIN ST, SUITE 100, ORANGE, CA 92868-3852
(714) 704-1900
(714) 704-1912
Mailing address
PO BOX 1809, ORANGE, CA 92856-0809
(714) 560-1580
(714) 560-1585
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A37525
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A37525
—
CA
Enumeration date
08/11/2008
Last updated
11/19/2008
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