MEDICARE: PATRICK SAU DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC33257	CA
2	225200000X	Physical Therapy Assistant	3865	CA

General Provider Information

NPI Number	:	1730546102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK SAU DC

Provider Business Mailing Address
First Line	:	530 NEW LOS ANGELES AVE STE 210
Second Line	:
City	:	MOORPARK
State	:	CA
Zip	:	93021-2089
Country	:	US
Telephone Number	:	805-531-1188
Fax Number	:	805-531-1112

Provider Business Practice Location Address
First Line	:	530 NEW LOS ANGELES AVE STE 210
Second Line	:
City	:	MOORPARK
State	:	CA
Zip	:	93021-2089
Country	:	US
Telephone Number	:	805-531-1188
Fax Number	:	805-531-1112

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2016
Last Update Date	:	12/18/2025

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Directions to “ PATRICK SAU DC” Practice Location

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