Individual
DR. WALTER JAYASINGHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
679 S WESTLAKE AVE, LOS ANGELES, CA 90057-3505
(213) 413-4141
(213) 484-6280
Mailing address
1930 WILSHIRE BLVD,, SUITE 1100, LOS ANGELES, CA 90057-3605
(213) 483-2620
(213) 483-7918
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
A26210
CA
208200000X
Plastic Surgery Physician
A26210
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A262100
—
CA
Enumeration date
08/02/2006
Last updated
09/24/2024
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