# SISIRA GUNAWARDANE MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Medical Center of West Covina
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902951601
- **Authorized official:** MRS. HEMALATHA R PAREKH MD (ASSOCIATE)
- **Authorized official phone:** (626) 960-5461

## Contact information

- **Practice address:** 333 NO SUNSET AVE, WEST COVINA, CA 91790
- **Practice address phone:** (626) 960-5461
- **Practice address fax:** (626) 962-7199
- **Mailing address:** 333 NO SUNSET AVE, WEST COVINA, CA 91790
- **Mailing address phone:** (626) 960-5461
- **Mailing address fax:** (626) 962-7199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A33761 | CA | — |
| 208D00000X | General Practice Physician | A50919 | CA | Yes |

## Other

- **Enumeration date:** 01/24/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0095500 | — | CA |