Graduated: 2011
NPI: 1427327345
Practice Locations (2)
SAN JOAQUIN FACULTY MEDICAL GROUP
500 W HOSPITAL RD
FRENCH CAMP, CA 952319693
2094686600
REGENTS OF THE UNIV OF CA
2315 STOCKTON BLVD
SACRAMENTO, CA 958172201
9167033011
Source: CMS National Downloadable File, September 2026.