Graduated: 2019
NPI: 1396374021
Practice Locations (4)
PO BOX
GRANITE BAY, CA 95746
4250 AUBURN BLVD
Sacramento, CA 958414100
4250 AUBURN BLVD
SACRAMENTO, CA 958414100
9164893336
PO BOX, SUITE 4625
CARSON CITY, NV 89702
Source: CMS National Downloadable File, September 2026.