Organization
EMPIRE MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER JAYASHINGHE M.D. (CEO)
(951) 280-7700
Entity
Organization
Contact information
Practice address
1906 COMMERCENTER E, SAN BERNARDINO, CA 92408-3422
(626) 798-8600
(626) 798-8842
Mailing address
2693 E WASHINGTON BLVD, PASADENA, CA 91107-1412
(626) 798-8600
(626) 798-8842
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/02/2009
Last updated
11/26/2012
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