Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1997
NPI: 1295813004
Practice Locations (3)
GOLDEN VALLEY HEALTH CENTERS
250 NORTHGATE DR
MANTECA, CA 953363161
2097224842
GOLDEN VALLEY HEALTH CENTERS
1524 MCHENRY AVE, SUITE 300
MODESTO, CA 953504570
2097224842
PERMANENTE MEDICAL GROUP INC
7373 W LANE
STOCKTON, CA 952103377
2094762000
Source: CMS National Downloadable File, September 2026.