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.
Organization
SUNIL M. DISSANAYAKE MD A PROFESSIONAL CORPORATION
Active
Organization
SUNIL M. DISSANAYAKE MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNIL MAHANAMA DISSANAYAKE M.D. (PRESIDENT)
(626) 965-1646
Entity
Organization
Contact information
Practice address
1612 NOGALES ST, ROWLAND HEIGHTS, CA 91748-2257
(626) 965-1646
(626) 965-4697
Mailing address
1612 NOGALES ST, ROWLAND HEIGHTS, CA 91748-2257
(626) 965-1646
(626) 965-4697
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A39447
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A394470
—
CA
01
—
W20199
MEDICARE ID
—
Enumeration date
12/01/2006
Last updated
05/14/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up