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Organization
WALTER JAYASINGHE M.D. A PROFESSIONAL CORP
Active
Organization
WALTER JAYASINGHE M.D. A PROFESSIONAL CORP
Active
Parent organization
WALTER JAYASINGHE M.D. A PROFESSIONAL CORP
Other names
LOS ANGELES MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALTER JAYASINGHE M.D. A PROFESSIONAL CORP
Authorized official
DR. WALTER JAYASINGHE M.D. (PRESIDENT/CEO)
(213) 483-2620
Entity
Organization
Contact information
Practice address
200 S BEACH BLVD, SUITE C, LA HABRA, CA 90631-5180
(562) 267-1321
(562) 697-3009
Mailing address
200 S BEACH BLVD, SUITE C, LA HABRA, CA 90631-5180
(562) 267-1321
(562) 697-3009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A31911
CA
207R00000X
Internal Medicine Physician
A31911
CA
207VG0400X
Gynecology Physician
A26210
CA
363A00000X
Physician Assistant
PA20052
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
CA
Enumeration date
02/05/2013
Last updated
02/05/2013
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