Lakmali Kodituwakku-Cooray, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA21327 Issued in CA

Practice address

455 W Willow St
Long Beach, CA 90806-2843

Phone

(562) 427-1700

NPI assigned

Dec 23, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Para Latino Medical Center Inc

  • Family Medicine Physician
  • Paramount, CA
  • NPI 1356498935
  Medicare reassignment
• Center for Family Health and Education Inc

  • Federally Qualified Health Center (FQHC)
  • Long Beach, CA
  • NPI 1154803674
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1293062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1194029629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 VAN NUYS BLVD STE 201-A",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054618",
            "telephone_number": "818-812-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 W WILLOW ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062843",
            "telephone_number": "562-427-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODITUWAKKU-COORAY",
        "first_name": "LAKMALI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-23",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Koan, M.D.
• Claire Kobren, LCSW
• Ganna Kobzeva, MD
• Alice Eugenia Kocevar, LVN
• Hilda B Koch, PA-C
• Thu Trang Koeler, O.D.
• Vincent Gerald Koeller, L.AC.
• Sharleen Koenig, P.T., DP.T.
• William J Koenig, MD
• Andy Sokehng Koeum, RN

• Physician Assistant in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.