MEDICARE: SATISH S. KADABA, M.D., INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist
2	111N00000X	Chiropractor
3	207R00000X	Internal Medicine Physician
4	207X00000X	Orthopaedic Surgery Physician	A39716	CA
5	208100000X	Physical Medicine & Rehabilitation Physician
6	208VP0014X	Interventional Pain Medicine Physician
7	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1003021965
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SATISH S. KADABA, M.D., INC.

Provider Business Mailing Address
First Line	:	4545 E 3RD ST
Second Line	:	SUITE 102
City	:	LOS ANGELES
State	:	CA
Zip	:	90022-1656
Country	:	US
Telephone Number	:	323-264-6296
Fax Number	:	323-264-6297

Provider Business Practice Location Address
First Line	:	4545 E 3RD ST
Second Line	:	SUITE 102
City	:	LOS ANGELES
State	:	CA
Zip	:	90022-1656
Country	:	US
Telephone Number	:	323-264-6296
Fax Number	:	323-264-6297

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SATISH S. KADABA
Credential	:	M.D.
Telephone Number	:	323-264-6296

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	09/11/2025

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