Healthcare Provider Details

I. General information

NPI: 1750484309
Provider Name (Legal Business Name): AMERI-WEST HEALTH ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 W LA HABRA BLVD
LA HABRA CA
90631-5404
US

IV. Provider business mailing address

1930 WILSHIRE BLVD SUITE 1100
LOS ANGELES CA
90057-3605
US

V. Phone/Fax

Practice location:
  • Phone: 562-267-7000
  • Fax: 562-267-1323
Mailing address:
  • Phone: 213-483-2262
  • Fax: 213-483-7918

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA13399
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA14957
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP349926
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA52549
License Number StateCA
# 5
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberA26210
License Number StateCA

VIII. Authorized Official

Name: DR. WALTER JAYASINGHE
Title or Position: OWNER
Credential: M.D.
Phone: 213-483-2620