Provider Demographics
NPI:1497416317
Name:SAKAMOTO, KARISSA K
Entity Type:Individual
Prefix:
First Name:KARISSA
Middle Name:K
Last Name:SAKAMOTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18314 PATRONELLA AVE
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-4912
Mailing Address - Country:US
Mailing Address - Phone:310-701-9141
Mailing Address - Fax:
Practice Address - Street 1:18314 PATRONELLA AVE
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90504-4912
Practice Address - Country:US
Practice Address - Phone:310-701-9141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-03
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst