Individual
DR. AMANDEEP SAPPAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
1350 TRAVIS BLVD UNIT 1507A, FAIRFIELD, CA 94533-3440
(707) 421-2020
Mailing address
1160 MARLOWE CT, VACAVILLE, CA 95687-5265
(707) 474-7571
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
15057
CA
152W00000X
Optometrist
15057TLG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84-1915375
—
CA
Enumeration date
07/28/2014
Last updated
08/27/2021
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