Graduated: 2019
NPI: 1366087553
Practice Locations (2)
REGENTS OF THE UNIV OF CA
2315 STOCKTON BLVD
SACRAMENTO, CA 958172201
9167342657
PERMANENTE MEDICAL GROUP INC
6600 BRUCEVILLE RD
SACRAMENTO, CA 958234671
9166882000
Source: CMS National Downloadable File, September 2026.