Provider Demographics
NPI:1497089437
Name:SPINAL SATTVA, INC
Entity Type:Organization
Organization Name:SPINAL SATTVA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KOICHI
Authorized Official - Middle Name:
Authorized Official - Last Name:NARUISHI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:510-428-2332
Mailing Address - Street 1:3286 ADELINE ST
Mailing Address - Street 2:SUITE 9
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94703-2483
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3286 ADELINE ST
Practice Address - Street 2:SUITE 9
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94703-2483
Practice Address - Country:US
Practice Address - Phone:510-428-2332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-23
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty