Provider Demographics
NPI:1295703874
Name:SATA, HOLLY Y (MD)
Entity type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:Y
Last Name:SATA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:1439 W CHAPMAN AVE # 51
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-2738
Mailing Address - Country:US
Mailing Address - Phone:714-935-9500
Mailing Address - Fax:714-935-9559
Practice Address - Street 1:1158 N COURT ST
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-0436
Practice Address - Country:US
Practice Address - Phone:530-768-1722
Practice Address - Fax:530-768-1585
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG71823207L00000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G718230Medicaid
CA00G718230Medicaid
CAG71823Medicare ID - Type Unspecified