Graduated: 2012
NPI: 1407297252
Practice Locations (2)
CENTRAL CALIFORNIA BARIATRIC SURGERY A MEDICAL CORPORATION
1552 COFFEE RD, SUITE 200
MODESTO, CA 953553122
2092487168151
PERMANENTE MEDICAL GROUP INC
4601 DALE RD
MODESTO, CA 953569718
2097355000
Source: CMS National Downloadable File, September 2026.