Graduated: 2023
NPI: 1255117594
Practice Locations (2)
CLINIC SERVICES OF CALIFORNIA MEDICAL GROUP INC
1235 W VINE ST, SUITE 20
LODI, CA 952405144
2093343411
TEAM PHYSICIANS OF CALIFORNIA MEDICAL GROUP INC
975 S FAIRMONT AVE
LODI, CA 952405118
2093343411
Source: CMS National Downloadable File, September 2026.