Individual
SATOSHI TATESHIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 UCLA MEDICAL PLZ STE 100, LOS ANGELES, CA 90024-7000
(310) 301-6800
(310) 794-9035
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
A105145
CA
2085R0202X
Diagnostic Radiology Physician
A105145
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A105145
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A1051450
—
CA
Enumeration date
06/16/2006
Last updated
12/11/2019
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