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
1760 TERMINO AVE, SUITE 116, LONG BEACH, CA 90804-2105
(562) 597-8885
(562) 597-3108
Mailing address
1760 TERMINO AVE, SUITE 116, LONG BEACH, CA 90804-2105
(562) 597-8885
(562) 597-3108
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ79153Z
—
CA
Enumeration date
05/07/2008
Last updated
05/07/2008
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