Organization
HOLLY SATA MD , PROFESSIONAL CORPORATION
Active
Other names
Dr Holly Sata
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOLLY SATA M.D. (PHYSICIAN/PRESIDENT)
(714) 600-6760
Entity
Organization
Contact information
Practice address
20201 SW BIRCH ST STE 100, NEWPORT BEACH, CA 92660-1781
(714) 935-9500
(714) 935-9559
Mailing address
277 MORNING CANYON RD, CORONA DEL MAR, CA 92625-2641
(714) 600-6760
(949) 720-0337
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G718230
—
CA
01
—
G71823
MEDICARE ID UNSPECIFIED
CA
05
—
G71823
—
CA
Enumeration date
11/16/2007
Last updated
06/29/2023
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