Healthcare Provider Details

I. General information

NPI: 1225369135
Provider Name (Legal Business Name): SATYA HEALTH OF CALIFORNIA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2010
Last Update Date: 10/19/2020
Certification Date: 10/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 N CANTERA CIR
PALM SPRINGS CA
92262-6226
US

IV. Provider business mailing address

PO BOX 5705
SAN CLEMENTE CA
92674-5705
US

V. Phone/Fax

Practice location:
  • Phone: 949-625-0376
  • Fax: 949-390-9899
Mailing address:
  • Phone: 949-625-0376
  • Fax: 949-390-9899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RON GIRSKIS
Title or Position: BUSINESS OPERATION SPECIALILST
Credential:
Phone: 949-359-8273