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1639783194
KANISHKA WIJEGUNARATNE, MD INC
LOS ANGELES, CA
NPI
1639783194
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Entity Type
Organization
Authorized Contact
KANISHKA WIJEGUNARATNE
President
714-928-9927
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2020-09-02
Last Update Date
2020-09-02
Business Address
KANISHKA WIJEGUNARATNE, MD INC
5901 W OLYMPIC BLVD STE 504
LOS ANGELES, CA 90036-4633
Phone number: 310-477-8400
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Mailing Address
KANISHKA WIJEGUNARATNE, MD INC
16837 SHILENO PL
ENCINO, CA 91436-3534
Phone number: 714-928-9927
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