| Organization Name: | SATI WELLLNESS, LLC |
| NPI Number: | 1023465317 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CARRIE ELIZABETH WILSON FRIEDMAN (COO) |
| Mailing Address: | 16055 Ventura Blvd Suite 712 Encino |
| State: | CA US |
| Postal Code: | 914362601 |
| Phone Number: | 8183861395 |
| Fax Number: | 8888826061 |
| NPI Enumeration Date: | 05/17/2016 |
| NPI Last Update Date: | 05/17/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | 95001868 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |