Provider Demographics
NPI:1043047673
Name:S WEERAMAN MD INC
Entity type:Organization
Organization Name:S WEERAMAN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SASHINI
Authorized Official - Middle Name:
Authorized Official - Last Name:WEERAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-501-6991
Mailing Address - Street 1:2705 N BENTLEY ST
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-2259
Mailing Address - Country:US
Mailing Address - Phone:714-501-6991
Mailing Address - Fax:
Practice Address - Street 1:1100 WEST TOWN AND COUNTRY ROAD
Practice Address - Street 2:SUITE 1250 #7868
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868
Practice Address - Country:US
Practice Address - Phone:714-501-6991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-17
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty