Sanaz Stacy Aboutalebi-simon O.D.

NPI 1033319215 - Optometrist - 152WC0802X

NPI Details
NPI 1033319215
Gender Female
Enumeration Date 07/24/2007
Last Updated 10/14/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
3400 DELTA FAIR BLVD
THE PERMANENTE MEDICAL GROUP, INC.
ANTIOCH CA, 94509-4004, US
Phone (925) 779-5223
Fax (925) 779-5421
Business Location
2640 BUENA VISTA AVE
WALNUT CREEK CA, 94597-2502, US
Phone (925) 726-9711
Fax
Toxanomy
Taxonomy Code 152WC0802X
License State California
License Number 12259T
Remove 1033319215 NPI Number
 

According to our database, Dr. Sanaz Stacy Aboutalebi-simon O.D. NPI is 1033319215, taxonomy code is 152WC0802X and license number is 12259T, license state is located at California. Sanaz Stacy Aboutalebi-simon O.D. physically located at 3400 Delta Fair Blvd, Antioch CA, 94509-4004. NPI Number Sanaz Stacy Aboutalebi-simon O.D. has the Individual type.

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1033319215 NPI number is provided on an as is basis without warranty of any kind. 1033319215 is maintained by the National Plan & Provider Enumeration System. The contents of Sanaz Stacy Aboutalebi-simon O.D. are for informational purposes only.