Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 24213 | CA |
NPI | 1043335599 |
---|---|
Provider Name | Dr. Sharlene Sanae Sato |
First Address | Torrance, CA 90503-6014 |
Second Address | Westminster, CA 92683-5558 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2007 |
Last Update Date | 08/07/2007 |