Graduated: 2006
NPI: 1417074907
Practice Locations (2)
GERIATRICS LONG TERM CARE MEDICAL CORPORATION
2333 W MARCH LN, A1
STOCKTON, CA 952075263
2094758144
PERMANENTE MEDICAL GROUP INC
7373 W LANE
STOCKTON, CA 952103377
2094762000
Source: CMS National Downloadable File, September 2026.