SEEDUWA MUDIYANS OWADINI WATHSALA BANDARA

REDONDO BEACH, CA
NPI1114157518
Professional NameOWADINI WATHSALA BANDARA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A144138)
Additional Taxonomies207Q00000X Family Medicine
(Licence: ND  TRL11286)
Enumeration Date2009-07-20
Last Update Date2021-09-16
Business Address
Dr. SEEDUWA MUDIYANS OWADINI WATHSALA BANDARA MD
514 N PROSPECT AVE
REDONDO BEACH, CA 90277-3036
Phone number: 310-937-8555
Mailing Address
Dr. SEEDUWA MUDIYANS OWADINI WATHSALA BANDARA MD
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number: 310-301-8771