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Organization

SISIRA GUNAWARDANE MD INC

Active
Other names
Family Medical Center of West Covina
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. HEMALATHA R PAREKH MD (ASSOCIATE)
(626) 960-5461
Entity
Organization

Contact information

Practice address
333 NO SUNSET AVE, WEST COVINA, CA 91790
(626) 960-5461
(626) 962-7199
Mailing address
333 NO SUNSET AVE, WEST COVINA, CA 91790
(626) 960-5461
(626) 962-7199

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
A33761
CA
208D00000X
General Practice Physician
Primary
A50919
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0095500
CA
Enumeration date
01/24/2007
Last updated
08/22/2020
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