Healthcare Provider Details

I. General information

NPI: 1730546102
Provider Name (Legal Business Name): PATRICK SAU DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/15/2016
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 NEW LOS ANGELES AVE STE 210
MOORPARK CA
93021-2089
US

IV. Provider business mailing address

530 NEW LOS ANGELES AVE STE 210
MOORPARK CA
93021-2089
US

V. Phone/Fax

Practice location:
  • Phone: 805-531-1188
  • Fax: 805-531-1112
Mailing address:
  • Phone: 805-531-1188
  • Fax: 805-531-1112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC33257
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number3865
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: