Healthcare Provider Details

I. General information

NPI: 1235053232
Provider Name (Legal Business Name): MRS. SARAH SADDOUKI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 09/03/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 ENBORG LN.
SAN JOSE CA
95128
US

IV. Provider business mailing address

88 E SAN CARLOS STREET UNIT 1608
SAN JOSE CA
95112
US

V. Phone/Fax

Practice location:
  • Phone: 408-885-5400
  • Fax:
Mailing address:
  • Phone: 337-834-5403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: