Provider Demographics
NPI:1700075942
Name:CORDOVA, ZOE T (DC)
Entity Type:Individual
Prefix:DR
First Name:ZOE
Middle Name:T
Last Name:CORDOVA
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 1:520 LAWRENCE EXPY
Mailing Address - Street 2:#308
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94085-4075
Mailing Address - Country:US
Mailing Address - Phone:408-736-2225
Mailing Address - Fax:
Practice Address - Street 1:520 LAWRENCE EXPY
Practice Address - Street 2:#308
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-4075
Practice Address - Country:US
Practice Address - Phone:408-736-2225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-23
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19089111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation