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Individual

DR. LASIKA CHANDRADATTA SENEVIRATNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1245 WILSHIRE BLVD, SUITE 303, LOS ANGELES, CA 90017-4810
(213) 977-1214
(213) 482-8868
Mailing address
541 W COLORADO ST STE 205, GLENDALE, CA 91204-3640
(323) 254-0046
(323) 488-9782

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A56331
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A563310
CA
01
A056331
CA MEDICAL LICENSE
CA
Enumeration date
08/29/2006
Last updated
03/13/2020
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