Family Medical Center Of West Covina

LBN: Sisira Gunawardane Md Inc
Family Medical Center Of West Covina is an health care organization with primary practice located at 333 N Sunset Ave , West Covina CA 91790. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Sisira Gunawardane Md Inc can be contacted via phone (626) 960-5461, or through Gunawardane, Sisira K via phone (626) 960-5461.

Contact Information

Primary practice address
333 N Sunset Ave West Covina CA 91790
Phone: (626) 960-5461
Fax: (626) 962-7199
Website:
Map and Directions
Authorized official contact:
Name: Gunawardane, Sisira K Doctor of Medicine (MD)
Phone: (626) 960-5461

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A33761 California

Profile Details

NPI number 1922160845
LBN Legal business name Sisira Gunawardane Md Inc
DBA Doing business as Family Medical Center Of West Covina
Authorized official Gunawardane, Sisira K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2006
Last updated Dec 18th, 2007 - about 19 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 1922160845 NPPES
California MEDICAID GR0095500

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