Healthcare Provider Details

I. General information

NPI: 1326977620
Provider Name (Legal Business Name): LESLIE SATO RPHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2185 W GRANT LINE RD
TRACY CA
95377-7309
US

IV. Provider business mailing address

2545 TRAVAO LN
TRACY CA
95376-0774
US

V. Phone/Fax

Practice location:
  • Phone: 925-409-0919
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberTCH52409
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: