Healthcare Provider Details

I. General information

NPI: 1245031590
Provider Name (Legal Business Name): CORALANN MARIE GARCIA-SACATANI MC, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2025
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

683 WAKEA ST UNIT 6113
KAPOLEI HI
96707-6607
US

IV. Provider business mailing address

683 WAKEA ST UNIT 6113
KAPOLEI HI
96707-6607
US

V. Phone/Fax

Practice location:
  • Phone: 808-258-0008
  • Fax:
Mailing address:
  • Phone: 808-258-0008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLAC-23397
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: