Individual
DR. SANAZ STACY ABOUTALEBI-SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3400 DELTA FAIR BLVD, THE PERMANENTE MEDICAL GROUP, INC., ANTIOCH, CA 94509-4004
(925) 779-5223
(925) 779-5421
Mailing address
2640 BUENA VISTA AVE, WALNUT CREEK, CA 94597-2502
(925) 726-9711
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
12259T
CA
Other
Enumeration date
07/24/2007
Last updated
01/26/2022
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