Provider Demographics
NPI:1073630521
Name:KAMADA, SATOSHI S (MD)
Entity Type:Individual
Prefix:
First Name:SATOSHI
Middle Name:S
Last Name:KAMADA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:15775 LAGUNA CANYON RD
Mailing Address - Street 2:280
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3191
Mailing Address - Country:US
Mailing Address - Phone:949-453-1201
Mailing Address - Fax:949-727-2050
Practice Address - Street 1:15775 LAGUNA CANYON RD
Practice Address - Street 2:280
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3191
Practice Address - Country:US
Practice Address - Phone:949-453-1201
Practice Address - Fax:949-727-2050
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2010-09-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG59920207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE48514Medicare UPIN