Graduated: 2007
NPI: 1417143900
Practice Locations (2)
CLINIC SERVICES OF CALIFORNIA MEDICAL GROUP INC
1235 W VINE ST, SUITE 20
LODI, CA 952405144
2093343411
TEAM PHYSICIANS OF CALIFORNIA MEDICAL GROUP INC
525 W ACACIA ST
STOCKTON, CA 952032405
2099445550
Source: CMS National Downloadable File, September 2026.