Individual
HIMANSHU VAJRIN WICKRAMASINGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23928 LYONS AVE, SUITE 203, NEWHALL, CA 91321-2409
(661) 254-7216
(661) 254-4830
Mailing address
23928 LYONS AVE, SUITE 203, NEWHALL, CA 91321-2409
(661) 254-7216
(661) 254-4830
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A56078
CA
207RP1001X
Pulmonary Disease Physician
Primary
A56078
CA
Other
Enumeration date
07/19/2006
Last updated
02/09/2012
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