Graduated: 1988
NPI: 1386722965
Practice Locations (2)
CENTRAL CALIFORNIA FACULTY MEDICAL GROUP INC
2176 SHAW AVE
CLOVIS, CA 936118919
5592722251
PERMANENTE MEDICAL GROUP INC
7373 W LANE
STOCKTON, CA 952103377
2094762000
Source: CMS National Downloadable File, September 2026.