Provider Demographics
NPI:1326389461
Name:SADIE J SANDERS CHIROPRACTIC, A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:SADIE J SANDERS CHIROPRACTIC, A PROFESSIONAL CORPORATION
Other - Org Name:HEALTH & HUMAN PERFORMANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SADIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:818-704-5121
Mailing Address - Street 1:20300 VENTURA BLVD
Mailing Address - Street 2:245
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-2448
Mailing Address - Country:US
Mailing Address - Phone:818-704-5121
Mailing Address - Fax:
Practice Address - Street 1:20300 VENTURA BLVD
Practice Address - Street 2:245
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2448
Practice Address - Country:US
Practice Address - Phone:818-704-5121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-14
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32132111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty