Graduated: 2024
NPI: 1154164820
Practice Locations (4)
REGENTS OF THE UNIV OF CA
2221 STOCKTON BLVD
SACRAMENTO, CA 958171418
9167342680
REGENTS OF THE UNIV OF CA
2221 STOCKTON BLVD, SUITE E
SACRAMENTO, CA 958171418
9167342680
REGENTS OF THE UNIV OF CA
2315 STOCKTON BLVD
SACRAMENTO, CA 958172201
9167342011
PERMANENTE MEDICAL GROUP INC
7373 W LANE
STOCKTON, CA 952103377
2094762000
Source: CMS National Downloadable File, September 2026.