Search › California › 207Q00000X
Amila Nissanka, MD
NPI 1073023594 · on the registry since 2017
Practice
- Address
- 303 Broadway St Ste 103
Laguna Beach, CA 92651 - Phone
- (949) 665-6000
- Fax
- (949) 670-4967
- Organisation at this address
- Press Health Inc
Press Health Inc
Quality Care,Inc.
Bluebird Pediatrics
Jonathan Duong O.D., Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Additional practice sites
- 20 Via Loma, Laguna Niguel, CA
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
207Q00000X
207Q00000X
207Q00000X
207Q00000X
208600000X - Licence states on file
- IL, WI, AZ, AL, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-05-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California