Individual
SURANI AMALA JAYARATNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5901 E 7TH ST, VA LONG BEACH, LONG BEACH, CA 90822-5201
(562) 826-8000
Mailing address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A125574
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2010
Last updated
03/11/2015
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