Organization
BUSHIDO BARIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISSA CHRISTINA SAKATA MD, MPH (SURGEON)
(907) 350-5571
Entity
Organization
Contact information
Practice address
402 N WEST ST, FALLS CHURCH, VA 22046-2543
(907) 350-5571
Mailing address
402 N WEST ST, FALLS CHURCH, VA 22046-2543
(907) 350-5571
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
133V00000X
Registered Dietitian
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790070605
NPPES
—
01
—
1902193410
NPPES
PA
Enumeration date
03/11/2021
Last updated
03/11/2021
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