Satou, Gary Mark
Satou, Gary Mark is an individual health care provider with primary practice located at 10833 Le Conte Ave , Los Angeles CA 90095. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Satou, Gary Mark can be contacted via phone (310) 825-5296.Contact Information
Primary practice address
10833 Le Conte Ave
Los Angeles CA 90095
Phone: (310) 825-5296
Fax: (310) 825-9524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 213923 | New York |
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | G8095 | California |
Profile Details
| NPI number | 1568463537 |
|---|---|
| LBN Legal business name | Satou, Gary Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Aug 29th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568463537 | NPPES |
| Connecticut | MEDICAID | 001405267 | |
| Connecticut | MEDICAID | 01981066 |
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