Sarath C Witana Medical Group Inc

LBN: Sarath C Witana Medical Group Inc
Sarath C Witana Medical Group Inc is an health care organization with primary practice located at 24060 Fir Ave Suite A, Moreno Valley CA 92553-2895. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Sarath C Witana Medical Group Inc can be contacted via phone (951) 243-6460, or through Witana, Sarath C via phone (951) 243-6460.

Contact Information

Primary practice address
24060 Fir Ave Suite A Moreno Valley CA 92553-2895
Fax: (951) 243-5871
Website:
Authorized official contact:
Name: Witana, Sarath C Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A50338 California

Profile Details

NPI number 1568573160
LBN Legal business name Sarath C Witana Medical Group Inc
DBA Doing business as
Authorized official Witana, Sarath C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Mar 8th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568573160 NPPES
California MEDICAID 00A503380

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