Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1997
Offers telehealth
NPI: 1407844889
Practice Locations (2)
SAN JOAQUIN KIDNEY CLINIC, INC
801 S HAM LN, SUITE J
LODI, CA 952427502
2093697336
SAN JOAQUIN KIDNEY CLINIC, INC
1801 E MARCH LN, SUITE B265
STOCKTON, CA 952106655
2095461868
Source: CMS National Downloadable File, September 2026.