Provider Demographics
NPI:1033844303
Name:SATO-TRANG, KATHY (RD)
Entity Type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:
Last Name:SATO-TRANG
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:KATHY
Other - Middle Name:
Other - Last Name:SATO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:17508 YUKON AVE
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-3432
Mailing Address - Country:US
Mailing Address - Phone:310-972-0697
Mailing Address - Fax:
Practice Address - Street 1:2303 MIRAMAR ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-2109
Practice Address - Country:US
Practice Address - Phone:213-484-7775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered