Organization
ASOKA JAYAWEERA MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASOKA JAYAWEERA MD (PRESIDENT)
(909) 621-4714
Entity
Organization
Contact information
Practice address
4950 SAN BERNARDINO ST, SUITE 215, MONTCLAIR, CA 91763-2328
(909) 621-4714
Mailing address
4950 SAN BERNARDINO ST, SUITE 215, MONTCLAIR, CA 91763-2328
(909) 621-4714
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A25025
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A250250
—
CA
Enumeration date
05/12/2008
Last updated
05/12/2008
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