Individual
DR. SATYA VISALAKSHI TATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15373 INNOVATION DR STE 395, SAN DIEGO, CA 92128-3429
(588) 876-3150
(866) 764-5413
Mailing address
10531 4S COMMONS DR STE 166566, SAN DIEGO, CA 92127-3517
(588) 876-3150
(866) 764-5413
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A98273
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A98273
CA
Other
Enumeration date
03/29/2007
Last updated
12/30/2020
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