Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 20A8858 | CA |
Y | 2081P2900X | Pain Medicine | 20A8858 | CA |
NPI | 1053405670 |
---|---|
Provider Name | Ms. Robyn Kyomi Sato |
First Address | Fullerton, CA 92835-3614 |
Second Address | Fullerton, CA 92835-3614 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 25/01/2019 |