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OIG exclusion detail

SRI WIJEGUNARATNE

This page shows an imported LEIE row. Verify details against the official OIG source before acting.

Imported OIG rowOfficial OIG source
NPI
1457534984
Name
SRI JAYANTHA WIJEGUNARATNE
Address
820 S COTTONTAIL LANE, ANAHEIM, CA, 92808
Specialty
GENERAL PRACTICE
Exclusion type
1128a1
Exclusion date
20140220
Reinstatement date
00000000
Waiver
00000000

Source snapshot

Imported: May 05, 2026

Rows: 83,001

Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7

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