Healthcare Provider Details

I. General information

NPI: 1679241715
Provider Name (Legal Business Name): SHERI SATTERFIELD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2021
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4455 W 117TH ST. STE 300
LOS ANGELES CA
90250
US

IV. Provider business mailing address

1731 E 120TH ST
LOS ANGELES CA
90059-3051
US

V. Phone/Fax

Practice location:
  • Phone: 310-987-0599
  • Fax:
Mailing address:
  • Phone: 323-563-4800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number60857
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: