MEDICARE: SATORI BAY

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	171100000X	Acupuncturist	17152	CA

General Provider Information

NPI Number	:	1336682681
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SATORI BAY

Provider Business Mailing Address
First Line	:	4580 INGLEWOOD BLVD APT 10
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90230-5867
Country	:	US
Telephone Number	:	831-917-9117
Fax Number	:

Provider Business Practice Location Address
First Line	:	4580 INGLEWOOD BLVD APT 10
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90230-5867
Country	:	US
Telephone Number	:	831-917-9117
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LAUREN STEGMAIER
Credential	:	L.AC.
Telephone Number	:	831-917-9117

Provider Enumeration Date	:	11/18/2016
Last Update Date	:	11/18/2016

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Directions to “SATORI BAY ” Practice Location

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