Graduated: 2025
NPI: 1114816295
Practice Locations (4)
4500 BUSINESS CTR DR
Fairfield, CA 945346888
4500 BUSINESS CTR DR
FAIRFIELD, CA 94534
PO BOX, SUITE 255228
Sacramento, CA 958655228
PO BOX, SUITE 255228
SACRAMENTO, CA 95865
Source: CMS National Downloadable File, September 2026.