Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | G50923 | CA |
NPI | 1023107364 |
---|---|
Provider Name | Dr. Elaine Satomi Date |
First Address | Redwood City, CA 94063-1729 |
Second Address | Redwood City, CA 94063-1729 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 01/04/2008 |