Provider Demographics
NPI:1023465317
Name:SATI WELLLNESS, LLC
Entity type:Organization
Organization Name:SATI WELLLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:ELIZABETH WILSON
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:310-779-6486
Mailing Address - Street 1:16055 VENTURA BLVD
Mailing Address - Street 2:SUITE 712
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-2601
Mailing Address - Country:US
Mailing Address - Phone:818-386-1395
Mailing Address - Fax:888-882-6061
Practice Address - Street 1:16055 VENTURA BLVD
Practice Address - Street 2:SUITE 712
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2601
Practice Address - Country:US
Practice Address - Phone:818-386-1395
Practice Address - Fax:888-882-6061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-17
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95001868261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty