Individual
DR. JASON BUDDIKA SAMARASENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 THE CITY DR S, BUILDING 200, SUITE 720, ORANGE, CA 92868-3201
(714) 456-6693
(714) 456-8874
Mailing address
363 NEWPORT AVE, UNIT 317, LONG BEACH, CA 90814-2661
(562) 438-2330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A100124
CA
207RG0100X
Gastroenterology Physician
Primary
A100124
CA
Other
Enumeration date
12/31/2007
Last updated
01/24/2025
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