# HOLLY SATA MD , PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr Holly Sata
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417138538
- **Authorized official:** DR. HOLLY SATA M.D. (PHYSICIAN/PRESIDENT)
- **Authorized official phone:** (714) 600-6760

## Contact information

- **Practice address:** 20201 SW BIRCH ST STE 100, NEWPORT BEACH, CA 92660-1781
- **Practice address phone:** (714) 935-9500
- **Practice address fax:** (714) 935-9559
- **Mailing address:** 277 MORNING CANYON RD, CORONA DEL MAR, CA 92625-2641
- **Mailing address phone:** (714) 600-6760
- **Mailing address fax:** (949) 720-0337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 11/16/2007
- **Last updated:** 06/29/2023