Individual
ANUSHA H DAHANAYAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1859 KELTON AVE, LOS ANGELES, CA 90025-4501
(310) 413-6758
Mailing address
PO BOX 10130, WESTMINSTER, CA 92685-0130
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP11160
CA
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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