Organization
GIMHA S GUNAWARDANA M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GIMHA SUDHANI GUNAWARDANA M.D. (PRESIDENT)
(909) 965-1215
Entity
Organization
Contact information
Practice address
255 E BONITA AVE, #101, POMONA, CA 91767-1923
(909) 524-1940
(909) 524-1943
Mailing address
999 SAN BERNARDINO RD, UPLAND, CA 91786-4920
(909) 985-2811
(909) 524-1943
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A101531
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720274921
INDIVIDUAL NPI
CA
Enumeration date
10/15/2015
Last updated
05/03/2024
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