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Individual

GARY MARK SATOU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095
(310) 825-5296
(310) 825-9524
Mailing address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
(310) 825-5296
(310) 825-9524

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
213923
NY
2080P0202X
Pediatric Cardiology Physician
Primary
G8095
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001405267
CT
05
01981066
NY
Enumeration date
08/02/2005
Last updated
08/29/2018
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