Provider Demographics
NPI:1063045482
Name:SATORI CENTER FOR WELLBEING
Entity Type:Organization
Organization Name:SATORI CENTER FOR WELLBEING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DATSON
Authorized Official - Last Name:HERNDON
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:760-778-6120
Mailing Address - Street 1:69730 HIGHWAY 111 STE 113
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-2873
Mailing Address - Country:US
Mailing Address - Phone:760-778-6120
Mailing Address - Fax:760-778-6122
Practice Address - Street 1:69730 HIGHWAY 111 STE 113
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-2873
Practice Address - Country:US
Practice Address - Phone:760-778-6120
Practice Address - Fax:760-778-6122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-13
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy