Jason Buddika Samarasena M.D.

NPI 1629253364 - Internal Medicine - 207R00000X

NPI Details
NPI 1629253364
Gender Male
Enumeration Date 12/31/2007
Last Updated 12/31/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
101 THE CITY DR S
BUILDING 200, SUITE 720
ORANGE CA, 92868-3201, US
Phone (714) 456-6693
Fax (714) 456-8874
Business Location
363 NEWPORT AVE
UNIT 317
LONG BEACH CA, 90814-2661, US
Phone (562) 438-2330
Fax
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number A100124
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According to our database, Dr. Jason Buddika Samarasena M.D. NPI is 1629253364, taxonomy code is 207R00000X and license number is A100124, license state is located at California. Jason Buddika Samarasena M.D. physically located at 101 The City Dr S, Orange CA, 92868-3201. NPI Number Jason Buddika Samarasena M.D. has the Individual type.

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1629253364 NPI number is provided on an as is basis without warranty of any kind. 1629253364 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Buddika Samarasena M.D. are for informational purposes only.