Provider Demographics
NPI:1396862488
Name:SATOSHI KAMADA MD INC
Entity Type:Organization
Organization Name:SATOSHI KAMADA MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SATOSHI
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMADA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-453-1201
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG59920174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE48514Medicare UPIN