Sri Jayantha Wijegoonaratna M.D

NPI 1457534984 - Internal Medicine - 207R00000X

NPI Details
NPI 1457534984
Gender Male
Enumeration Date 12/06/2007
Last Updated 08/14/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
820 S COTTONTAIL LN
ANAHEIM CA, 92808-1409, US
Phone (714) 873-3559
Fax (714) 280-8504
Business Location
820 S COTTONTAIL LN
ANAHEIM CA, 92808-1409, US
Phone (714) 873-3559
Fax (714) 280-8504
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number A100580
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According to our database, Sri Jayantha Wijegoonaratna M.D NPI is 1457534984, taxonomy code is 207R00000X and license number is A100580, license state is located at California. Sri Jayantha Wijegoonaratna M.D physically located at 820 S Cottontail Ln, Anaheim CA, 92808-1409. NPI Number Sri Jayantha Wijegoonaratna M.D has the Individual type.

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1457534984 NPI number is provided on an as is basis without warranty of any kind. 1457534984 is maintained by the National Plan & Provider Enumeration System. The contents of Sri Jayantha Wijegoonaratna M.D are for informational purposes only.