Individual
SAMPATH WIJESINGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1393 ACADEMY AVE, SANGER, CA 93657
(559) 875-6900
Mailing address
1479 W LACEY BLVD, HANFORD, CA 93230-5906
(559) 583-4617
(559) 583-4625
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA21068
CA
Other
Enumeration date
09/30/2010
Last updated
08/15/2014
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