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Organization
SISIRA GUNAWARDANE MD INC
Active
Organization
SISIRA GUNAWARDANE MD INC
Active
Other names
Family Medical Center of West Covina
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEMALATHA R PAREKH MD (ASSOCIATE)
(626) 960-5461
Entity
Organization
Contact information
Practice address
333 NO SUNSET AVE, WEST COVINA, CA 91790
(626) 960-5461
(626) 962-7199
Mailing address
333 NO SUNSET AVE, WEST COVINA, CA 91790
(626) 960-5461
(626) 962-7199
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
A33761
CA
208D00000X
General Practice Physician
Primary
A50919
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0095500
—
CA
Enumeration date
01/24/2007
Last updated
08/22/2020
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