Organization
HIMANSHU V WICKRAMASINGHE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIMANSHU V WICKRAMASINGHE M.D. (CHAIRMAN)
(626) 292-2401
Entity
Organization
Contact information
Practice address
23928 LYONS AVE, NEWHALL, CA 91321-2409
(661) 254-7216
(661) 254-4830
Mailing address
2290 SHERWOOD RD, SAN MARINO, CA 91108-2836
(626) 292-2401
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A56078
CA
207RP1001X
Pulmonary Disease Physician
Primary
A56078
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
A56078
CA
Other
Enumeration date
01/20/2008
Last updated
01/20/2008
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