Individual
DR. MOKSHA RANASINGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 E BEVERLY BLVD STE 404A, MONTEBELLO, CA 90640
(213) 369-4583
(866) 876-7956
Mailing address
101 E BEVERLY BLVD STE 404A, MONTEBELLO, CA 90640-4317
(213) 369-4583
(866) 876-7956
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A129389
CA
207T00000X
Neurological Surgery Physician
MD438027
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB235128
MEDICARE PTAN
CA
Enumeration date
04/19/2007
Last updated
08/06/2020
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