Individual
MAPITIYAGE N WIJESINGHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
174 W LINCOLN AVE, SUITE 582, ANAHEIM, CA 92805-2901
(714) 470-3260
Mailing address
174 W LINCOLN AVE, SUITE 582, ANAHEIM, CA 92805-2901
(714) 470-3260
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
A33740
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A337400
—
CA
05
—
00A337401
—
CO
05
—
00A337402
—
CA
Enumeration date
05/31/2005
Last updated
03/01/2014
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