Individual
DR. MOHAN PRIYAKANTHA KUMARATNE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17692 BEACH BLVD, STE. 200, HUNTINGTON BEACH, CA 92647-6837
(714) 847-6975
(714) 847-9727
Mailing address
17692 BEACH BLVD, STE. 200, HUNTINGTON BEACH, CA 92647-6837
(714) 847-6975
(714) 847-9727
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
A35327
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A353270
—
CA
Enumeration date
04/19/2006
Last updated
07/09/2007
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