Graduated: 2008
NPI: 1114320371
Practice Locations (3)
7738 CHAPARRAL WAY
Fair Oaks, CA 956283403
5330 PRIMROSE DR, SUITE 240
FAIR OAKS, CA 956283520
5330 PRIMROSE DR, SUITE 240
FAIR OAKS, CA 956283542
9168336566
Source: CMS National Downloadable File, September 2026.