Graduated: 2015
NPI: 1336692474
Practice Locations (2)
CLINIC SERVICES OF CALIFORNIA MEDICAL GROUP INC
1235 W VINE ST, SUITE 20
LODI, CA 952405144
2093343411
PERMANENTE MEDICAL GROUP INC
6600 BRUCEVILLE RD
SACRAMENTO, CA 958234671
9166882000
Source: CMS National Downloadable File, September 2026.