Individual
DR. KURUKULASOORIYA FERNANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 YGNACIO VALLEY RD, SUITE 250, WALNUT CREEK, CA 94596-3871
(925) 946-1080
(925) 946-9717
Mailing address
19491 MOUNT JASPER DR, CASTRO VALLEY, CA 94552-1903
(510) 727-0118
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A98088
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A98088
MEDICAL LICENSE
CA
Enumeration date
03/26/2007
Last updated
12/20/2021
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