Graduated: 2020
NPI: 1073085601
Practice Locations (2)
LA CLINICA DE LA RAZA INC
220 HOSPITAL DR
VALLEJO, CA 945892517
7076411900
PERMANENTE MEDICAL GROUP INC
975 SERENO DR
VALLEJO, CA 945892441
7076511000
Source: CMS National Downloadable File, September 2026.