Individual
MEGAN KIYOMI-SADAKANE VO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6801 PARK TER, LOS ANGELES, CA 90045
(310) 665-7205
Mailing address
13651 WILLARD ST, PANORAMA CITY, CA 91402-0001
(818) 375-1740
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA53111
CA
363AM0700X
Medical Physician Assistant
PA53111
CA
363AS0400X
Surgical Physician Assistant
Primary
PA53111
CA
Other
Enumeration date
01/25/2016
Last updated
12/14/2021
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