Organization
GEORGE M. JAYATILAKA, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA SAMALA (BUSINESS MANAGER)
(562) 436-8117
Entity
Organization
Contact information
Practice address
1045 ATLANTIC AVE, SUITE 818, LONG BEACH, CA 90813-3408
(562) 436-8117
(562) 432-2777
Mailing address
1045 ATLANTIC AVE, SUITE 818, LONG BEACH, CA 90813-3408
(562) 436-8117
(562) 432-2777
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ78614Z
—
CA
Enumeration date
04/30/2008
Last updated
01/14/2014
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