Individual provider · Type 1 NPI
Surani Amala Jayaratna
General Practice Physician · Long Beach, CA
NPI number
1629383575
Active
Practice location
5901 E 7th St, Va Long Beach
Long Beach, CA 90822-5201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| General Practice Physician Primary | 208D00000X | A125574 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1629383575
Surani Amala Jayaratna's National Provider Identifier is 1629383575, issued on Aug 16, 2010. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Long Beach, CA. The record was last updated on Mar 11, 2015.