Healthcare Provider Details

I. General information

NPI: 1043335599
Provider Name (Legal Business Name): SHARLENE SANAE SATO D.C., C.C.S.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9061 BOLSA AVE STE 100
WESTMINSTER CA
92683-5558
US

IV. Provider business mailing address

1309 KORNBLUM AVE
TORRANCE CA
90503-6014
US

V. Phone/Fax

Practice location:
  • Phone: 714-787-9808
  • Fax:
Mailing address:
  • Phone: 714-787-9808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number24213
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: