Healthcare Provider Details

I. General information

NPI: 1447173018
Provider Name (Legal Business Name): SATSUMA MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10843 MAGNOLIA BLVD STE 2
NORTH HOLLYWOOD CA
91601-3978
US

IV. Provider business mailing address

10843 MAGNOLIA BLVD STE 2
NORTH HOLLYWOOD CA
91601-3978
US

V. Phone/Fax

Practice location:
  • Phone: 818-308-6242
  • Fax: 818-308-6256
Mailing address:
  • Phone: 818-308-6242
  • Fax: 818-308-6256

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM COKE HARRELL
Title or Position: PRESIDENT
Credential:
Phone: 818-308-6242