1487199691 NPI number — DHARSHINI NIMALEE WICKREMASINGHE-KUHN M.A., APCC

Table of content: DHARSHINI NIMALEE WICKREMASINGHE-KUHN M.A., APCC (NPI 1487199691)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487199691 NPI number — DHARSHINI NIMALEE WICKREMASINGHE-KUHN M.A., APCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WICKREMASINGHE-KUHN
Provider First Name:
DHARSHINI
Provider Middle Name:
NIMALEE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.A., APCC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1487199691
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/18/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 186
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LA QUINTA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92247
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-571-5947
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2001 WILSHIRE BLVD.
Provider Second Line Business Practice Location Address:
SUITE 505
Provider Business Practice Location Address City Name:
SANTA MONICA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90403
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-893-3255
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/23/2016

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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