Provider Demographics
NPI:1053405670
Name:SATO, ROBYN KYOMI (DO)
Entity type:Individual
Prefix:MS
First Name:ROBYN
Middle Name:KYOMI
Last Name:SATO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:150 LAGUNA RD
Mailing Address - Street 2:STE A
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-3614
Mailing Address - Country:US
Mailing Address - Phone:714-738-5525
Mailing Address - Fax:714-738-1352
Practice Address - Street 1:150 LAGUNA RD
Practice Address - Street 2:STE A
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-3614
Practice Address - Country:US
Practice Address - Phone:714-738-5525
Practice Address - Fax:714-738-1352
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A8858208100000X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation