Graduated: 2020
NPI: 1225776164
Practice Locations (3)
SAN JOAQUIN FACULTY MEDICAL GROUP
500 W HOSPITAL RD
FRENCH CAMP, CA 952319693
2094686600
COUNTY OF SAN JOAQUIN
500 W HOSPITAL RD
FRENCH CAMP, CA 952319693
2094686000
PERMANENTE MEDICAL GROUP INC
6600 BRUCEVILLE RD
SACRAMENTO, CA 958234671
9166882000
Source: CMS National Downloadable File, September 2026.