Healthcare Provider Details

I. General information

NPI: 1558382309
Provider Name (Legal Business Name): LESLIE ELLEN SATZ RN, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8810 RIO SAN DIEGO DR 118Z
SAN DIEGO CA
92108-1622
US

IV. Provider business mailing address

3010 33RD ST
SAN DIEGO CA
92104
US

V. Phone/Fax

Practice location:
  • Phone: 619-400-5087
  • Fax: 619-400-5088
Mailing address:
  • Phone: 619-284-2927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number249366
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number249366
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number249366
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number249366
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: