# EMPIRE SPECIALISTS INCORPORATED

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1720384548
- **Authorized official:** DR. WALTER JAYASINGHE M.D. (CEO)
- **Authorized official phone:** (951) 280-7700

## Contact information

- **Practice address:** 82013 DR CARREON BLVD, SUITE G, INDIO, CA 92201-4832
- **Practice address phone:** (951) 280-7888
- **Practice address fax:** (951) 372-9014
- **Mailing address:** 2115 COMPTON AVE, SUITE 104, CORONA, CA 92881-7272
- **Mailing address phone:** (626) 798-8600
- **Mailing address fax:** (626) 798-8842

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207N00000X | Dermatology Physician | — | NULL | — |
| 207N00000X | Dermatology Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/27/2011
- **Last updated:** 11/26/2012