ASOKA JAYAWEERA MD INC.; NPI #1770750465

Contact Information

ASOKA JAYAWEERA MD INC.

4950 SAN BERNARDINO ST
SUITE 215
MONTCLAIR, CA 91763-2328

Phone: 909-621-4714
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Cardiovascular Disease	207RC0000X	11	Physician/Internal Medicine

Indicates primary specialty

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NPI Profile & details for ASOKA JAYAWEERA MD INC.

NPI Number 1770750465

LBN Legal business name ASOKA JAYAWEERA MD INC.

Authorized official ASOKA JAYAWEERA - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/12/2008

Last updated 05/12/2008 - About 18 years ago

Identifiers

CA	License #	A25025
CA	Medicaid	00A250250

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ASOKA JAYAWEERA MD INC.

Contact Information

Specialty

Cardiovascular Disease

NPI Profile & details for ASOKA JAYAWEERA MD INC.

Reviews for ASOKA JAYAWEERA MD INC.