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General NPI Number Information
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NPI Number | 1306799598
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Entity Type | Individual
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Provider Name | SUMUDU RATHNAYAKE MOT
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Gender | Female
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 1750 YOSEMITE DR
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City | LOS ANGELES
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State | CA
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Zip | 90041-2815
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Country | US
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Telephone | 323-340-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 6902 N FIGUEROA ST
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City | LOS ANGELES
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State | CA
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Zip | 90042-1246
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Country | US
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Telephone | 925-487-3799
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 24294
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License Number State | CA
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