Organization
R. NIHAL GOONETILLEKE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANJIT NIHAL GOONETILLEKE M.D. (PHYSICIAN)
(714) 973-8522
Entity
Organization
Contact information
Practice address
999 N. TUSTIN AVE., 224, SANTA ANA, CA 92705-6506
(714) 973-8522
Mailing address
999 N. TUSTIN AVE., 224, SANTA ANA, CA 92705-6506
(714) 973-8522
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A32430
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A324300
—
CA
Enumeration date
04/14/2008
Last updated
01/27/2015
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