Healthcare Provider Details

I. General information

NPI: 1851347306
Provider Name (Legal Business Name): SARATH GUNATILAKE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 N HILLSIDE DR
LONG BEACH CA
90815-4719
US

IV. Provider business mailing address

910 N HILLSIDE DR
LONG BEACH CA
90815-4719
US

V. Phone/Fax

Practice location:
  • Phone: 562-522-7719
  • Fax: 562-493-4286
Mailing address:
  • Phone: 562-522-7719
  • Fax: 562-493-4286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberA51239
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: