Provider Demographics
NPI:1821331034
Name:DEHAYBI, SARAH LAUREN (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LAUREN
Last Name:DEHAYBI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1899 W MARCH LN
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-6402
Mailing Address - Country:US
Mailing Address - Phone:209-623-4700
Mailing Address - Fax:209-623-4713
Practice Address - Street 1:1899 W MARCH LN
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-6402
Practice Address - Country:US
Practice Address - Phone:209-623-4700
Practice Address - Fax:209-623-4700
Is Sole Proprietor?:No
Enumeration Date:2013-04-05
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA147706207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology