Individual
SINA VAHEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36 W YOKUTS AVE STE 1, STOCKTON, CA 95207-5713
(209) 952-3700
(209) 952-0553
Mailing address
36 W YOKUTS AVE STE 1, STOCKTON, CA 95207-5713
(209) 952-3700
(209) 952-0553
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101273499
VA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
A186884
CA
Other
Enumeration date
04/02/2017
Last updated
04/02/2026
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