Provider Demographics
NPI:1699809053
Name:NAMIMATSU, SAUNDRA COBOS (DC)
Entity Type:Individual
Prefix:
First Name:SAUNDRA
Middle Name:COBOS
Last Name:NAMIMATSU
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16615 LARK AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-7645
Mailing Address - Country:US
Mailing Address - Phone:408-402-3427
Mailing Address - Fax:408-867-9393
Practice Address - Street 1:16615 LARK AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-7645
Practice Address - Country:US
Practice Address - Phone:408-402-3427
Practice Address - Fax:408-867-9393
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01242111N00000X
CA32460111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
No111N00000XChiropractic ProvidersChiropractor