Individual
GAGANJOT K SIDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1230 SUMMER LN, SAN PABLO, CA 94806-2090
(510) 374-0695
Mailing address
1230 SUMMER LN, SAN PABLO, CA 94806-2090
(510) 374-0695
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OD.61599163
WA
152W00000X
Optometrist
Primary
OPT35555-TLG
CA
Other
Enumeration date
03/22/2023
Last updated
07/26/2025
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