Graduated: 1991
NPI: 1306024104
Practice Locations (2)
SHASTA EYE MEDICAL GROUP INC
3190 CHURN CREEK RD
REDDING, CA 960022122
5302232500
SHASTA EYE MEDICAL GROUP INC
900 BUTTE ST
REDDING, CA 960010827
5302232500
Source: CMS National Downloadable File, September 2026.