Organization
SAM RATNAYAKE, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM N RATNAYAKE M.D. (PRESIDENT/OWNER)
(661) 377-3777
Entity
Organization
Contact information
Practice address
6001 TRUXTUN AVE, B STE 240, BAKERSFIELD, CA 93309-0679
(661) 377-3777
(661) 377-3778
Mailing address
6001 TRUXTUN AVE STE 200, BAKERSFIELD, CA 93309-0662
(661) 377-3777
(661) 377-3778
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A563631
—
CA
Enumeration date
01/30/2009
Last updated
10/28/2022
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