DR. Amila Vimara Nissanka, MD
NPI #1073023594 in Laguna Beach, California
Provider Information
- NPI Number
- 1073023594
- Entity Type
- Individual
- Name
- DR. Amila Vimara Nissanka, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Oct 10, 2017
- Last Updated
- May 4, 2023
Practice Location
- Address
- 303 BROADWAY ST STE 103
- City
- Laguna Beach
- State
- California
- ZIP Code
- 92651-1816
- Phone
- (949) 665-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Surgery |
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