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Organization
PAYAM ZAREHBIN
Active
Organization
PAYAM ZAREHBIN
Active
Other names
Fruitvale Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GENESTA ZAREHBIN (PRACTICE MANAGER)
(510) 292-9067
Entity
Organization
Contact information
Practice address
3301 E 12TH ST, SUITE 109, OAKLAND, CA 94601-3424
(510) 533-6567
(510) 533-6566
Mailing address
3301 E 12TH ST, SUITE 109, OAKLAND, CA 94601-3424
(510) 533-6567
(510) 533-6566
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 11992 TLG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0119920
—
CA
Enumeration date
08/13/2015
Last updated
08/13/2015
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