Organization
PERFORMANCE SPORTS CLINIC
Active
Organization
PERFORMANCE SPORTS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAUNDRA COBOS NAMIMATSU D.C. (MANAGER)
(408) 402-3427
Entity
Organization
Contact information
Practice address
16615 LARK AVE, SUITE 203, LOS GATOS, CA 95032-7645
(408) 402-3427
Mailing address
16615 LARK AVE, SUITE 203, LOS GATOS, CA 95032-7645
(408) 402-3427
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
32460
CA
Other
Enumeration date
05/25/2010
Last updated
03/01/2013
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