Provider Demographics
NPI:1801227095
Name:KARUNARATNA, ALVIN
Entity Type:Individual
Prefix:
First Name:ALVIN
Middle Name:
Last Name:KARUNARATNA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:DHANAPALA
Other - Middle Name:
Other - Last Name:KARUNARATNA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18432 GRIDLEY RD
Mailing Address - Street 2:
Mailing Address - City:ARTESIA
Mailing Address - State:CA
Mailing Address - Zip Code:90701-5404
Mailing Address - Country:US
Mailing Address - Phone:562-860-5404
Mailing Address - Fax:562-860-7109
Practice Address - Street 1:18432 GRIDLEY RD
Practice Address - Street 2:
Practice Address - City:ARTESIA
Practice Address - State:CA
Practice Address - Zip Code:90701-5404
Practice Address - Country:US
Practice Address - Phone:562-860-5404
Practice Address - Fax:562-860-7109
Is Sole Proprietor?:No
Enumeration Date:2013-12-12
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner