# NANDI WIJESINGHE, M.D., INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679753347
- **Authorized official:** DR. MAPITIYAGE N WIJESINGHE MD (PRESIDENT/OWNER)
- **Authorized official phone:** (714) 774-8870

## Contact information

- **Practice address:** 947 S ANAHEIM BLVD, SUITE 240, ANAHEIM, CA 92805-5582
- **Practice address phone:** (714) 774-8870
- **Practice address fax:** (714) 635-5704
- **Mailing address:** 947 S ANAHEIM BLVD, SUITE 240, ANAHEIM, CA 92805-5582
- **Mailing address phone:** (714) 774-8870
- **Mailing address fax:** (714) 635-5704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | A33740 | CA | Yes |

## Other

- **Enumeration date:** 11/09/2007
- **Last updated:** 07/23/2009