Graduated: 2018
NPI: 1316406671
Practice Locations (2)
TEAM PHYSICIANS OF CALIFORNIA MEDICAL GROUP INC
975 S FAIRMONT AVE
LODI, CA 952405118
2093343411
REGENTS OF THE UNIV OF CA
2315 STOCKTON BLVD
SACRAMENTO, CA 958172201
9167342011
Source: CMS National Downloadable File, September 2026.