Individual
KEVIN SOHI SADATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
400 NEWPORT CENTER DRIVE, SUITE 100, NEWPORT BEACH, CA 92660
(949) 706-7776
Mailing address
27462 PASEO BOVEDA, SAN JUAN CAPISTRANO, CA 92675-1890
(949) 481-3139
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
20A9343
CA
Other
Enumeration date
11/02/2006
Last updated
11/23/2009
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