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Organization
KANISHKA WIJEGUNARATNE, MD INC
Active
Organization
KANISHKA WIJEGUNARATNE, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KANISHKA WIJEGUNARATNE MD (PRESIDENT)
(714) 928-9927
Entity
Organization
Contact information
Practice address
5901 W OLYMPIC BLVD STE 504, LOS ANGELES, CA 90036-4633
(310) 477-8400
Mailing address
16837 SHILENO PL, ENCINO, CA 91436-3534
(714) 928-9927
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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