Organization
NANDI WIJESINGHE, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAPITIYAGE N WIJESINGHE MD (PRESIDENT/OWNER)
(714) 774-8870
Entity
Organization
Contact information
Practice address
947 S ANAHEIM BLVD, SUITE 240, ANAHEIM, CA 92805-5582
(714) 774-8870
(714) 635-5704
Mailing address
947 S ANAHEIM BLVD, SUITE 240, ANAHEIM, CA 92805-5582
(714) 774-8870
(714) 635-5704
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A33740
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A337400
—
CA
05
—
00A337401
—
CA
05
—
00A337402
—
CA
Enumeration date
11/09/2007
Last updated
07/23/2009
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