Graduated: 2014
NPI: 1255750410
Practice Locations (3)
REGENTS OF THE UNIV OF CA
2315 STOCKTON BLVD
SACRAMENTO, CA 958172201
9167033011
PERMANENTE MEDICAL GROUP INC
6600 BRUCEVILLE RD
SACRAMENTO, CA 958234671
9166882000
LOYOLA UNIVERSITY MEDICAL CENTER
2160 S 1ST AVE
MAYWOOD, IL 601533328
7082168372
Source: CMS National Downloadable File, September 2026.