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Organization
KEVIN SADATI, DO PROFESSIONAL CORPORATION
Active
Organization
KEVIN SADATI, DO PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN S SADATI DO (PRESIDENT)
(760) 946-5177
Entity
Organization
Contact information
Practice address
400 NEWPORT CENTER DR, SUITE 100, NEWPORT BEACH, CA 92660-7601
(949) 706-7776
Mailing address
27462 PASEO BOVEDA, SAN JUAN CAPISTRANO, CA 92675-1890
(760) 947-5177
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
20A9343
CA
208200000X
Plastic Surgery Physician
20A9343
CA
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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